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fracturs and soft tissue injuries

Total questions: 38

Worksheet time: 19mins

Name
Class
Date
1.

Nurses should always consider the need to assess for potential complications in immobilized patients.

a)

True

b)

False

2.

Which of the following is NOT a way to prevent fractures?

a)

Wearing helmets

b)

Ignoring safety rules

c)

Using seat belts

d)

Educating about safety precautions

3.

Which of the following is NOT a vascular assessment component?

a)

Color

b)

Temperature

c)

Sensation

d)

Capillary refill

4.

Match the nerve to the motor function for the upper extremity:

a)

Flex and extend wrist or fingers

1.

Ulnar nerve

b)

Abduct fingers

2.

Median nerve

c)

Oppose thumb and small finger

3.

Radial nerve

5.

Neurovascular assessment should always be included in a physical assessment, especially with any injury to an extremity.

a)

True

b)

False

6.

Which of the following is NOT a precaution for an X-ray diagnostic study?

a)

Must remain still during the study

b)

No radiopaque objects on the patient

c)

Contrast is nephrotoxic

d)

Identify if patient is/could be pregnant

7.

Which of the following is a key precaution for MRI studies?

a)

Ensure no metal

b)

Contrast is iodine based

c)

No need to remain still

d)

Radiation can have impact on fertility

8.

Which of the following is described as a partial dislocation?

a)

Sprain

b)

Strain

c)

Subluxation

d)

Fracture

9.

Which of the following is a type of soft tissue injury?

a)

Carpal tunnel syndrome

b)

Bone fracture

c)

Arthritis

d)

Osteoporosis

10.

Most fractures are due to which of the following?

a)

Disease

b)

Trauma

c)

Infection

d)

Congenital defects

11.

Some fractures are secondary to disease. Which of the following diseases are mentioned as causes of pathologic fractures?

a)

A) Cancer and Osteoporosis

b)

B) Diabetes and Hypertension

c)

C) Arthritis and Asthma

d)

D) Tuberculosis and Influenza

12.

Classifications of fractures include: Open vs. closed.

a)

True

b)

False

13.

Classifications of fractures include: Complete vs. incomplete.

a)

True

b)

False

14.

Classifications of fractures include: Direction of fracture line.

a)

True

b)

False

15.

Classifications of fractures include: Displaced vs. non-displaced.

a)

True

b)

False

16.

Displaced fractures are often comminuted (multiple fragments).

a)

True

b)

False

17.

Which of the following is NOT a factor influencing fracture healing?

a)

A) Age

b)

B) Blood supply

c)

C) Eye color

d)

D) Poor nutrition

18.

Excessive movement can negatively influence fracture healing.

a)

True

b)

False

19.

Poor nutrition can slow down the process of fracture healing.

a)

True

b)

False

20.

Which of the following is NOT a complication of fracture healing?

a)

A) Delayed union

b)

B) Nonunion

c)

C) Malunion

d)

D) Osteoporosis

21.

Which of the following is an initial intervention for fractures:

a)

Assess circulation, airway, and breathing

b)

Monitor for compartment syndrome

c)

Assess pain

d)

Monitor for fat embolism syndrome

22.

You should try to straighten fractured or dislocated joints as an initial intervention in fracture emergency care.

a)

True

b)

False

23.

What are the goals for fracture treatment?

a)

Anatomic realignment through reduction

b)

Immobilization

c)

Restore normal/near normal function

d)

All of the above

24.

Which of the following is NOT a diagnostic assessment/study for fractures?

a)

H & P

b)

X-ray

c)

CT scan

d)

Blood pressure measurement

25.

Which of the following is applied during closed reduction?

a)

Surgery

b)

Traction and countertraction

c)

Physical therapy

d)

None of the above

26.

Immobilization after a fracture can be achieved using which of the following?

a)

Cast

b)

Splint

c)

Brace

d)

Longer-term traction

e)

All of the above

27.

Open reduction involves surgical realignment when manual realignment isn't enough.

a)

True

b)

False

28.

Internal fixation (ORIF) uses hardware inside the body to stabilize the fracture. What is a potential risk of this method?

a)

Decreased risk of infection

b)

Increased risk of infection

c)

No risk of infection

d)

None of the above

29.

What is a benefit of internal fixation (ORIF)?

a)

Earlier ambulation

b)

Less complications from immobility

c)

Both A and B

d)

None of the above

30.

Which of the following is NOT a purpose of traction?

a)

Reduce pain and muscle spasm

b)

Immobilize joint or body part

c)

Increase muscle mass

d)

Reduce fracture or dislocation

31.

Which of the following is a purpose of traction?

a)

Promote active and passive ROM

b)

Decrease joint space

c)

Cause muscle atrophy

d)

Increase infection risk

32.

Traction and countertraction are used together to attain alignment.

a)

True

b)

False

33.

Which of the following is applied to the skin and used with 5-10 lbs. of weight to reduce muscle spasm?

a)

Buck's traction

b)

Skeletal traction

c)

Cervical traction

d)

Pelvic traction

34.

Which of the following is an example of skeletal traction?

a)

Balanced suspension traction

b)

Skin traction

c)

Cast immobilization

d)

Splinting

35.

Too much weight in skeletal traction can lead to which of the following complications?

a)

Delayed union or nonunion

b)

Infection

c)

Muscle spasm

d)

Fracture

36.

Which of the following is NOT a part of nursing management for fractures?

a)

Assess skin integrity

b)

Maintain continuous traction

c)

Remove weights frequently

d)

Prevent contractures

37.

There should be slack in the rope when managing traction for fractures.

a)

True

b)

False

38.

Which of the following is a complication that should be prevented in patients with fractures? Choose the correct option.

a)

Infection

b)

Hypertension

c)

Diabetes

d)

Asthma