MCQs on Fractures

Expected time to complete : 20 minutes

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Question 1 : When counseling an older patient about ways to prevent fractures, which information will the nurse include?

1. Tacking down scatter rugs in the home is recommended.
2. Occasional weight-bearing exercise will improve muscle and bone strength.
3. Most falls happen outside the home.
4. Buying shoes that provide good support and are comfortable to wear is recommended.

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Question 2 : Which surgical procedure is used to relieve the pressure on the median nerve?

1. Open reduction and internal fixation
2. Carpal tunnel release
3. Arthroplasty
4. Knee replacement

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Question 3 : A patient is seen at the urgent care center after falling on the right arm and shoulder. It will be most important for the nurse to determine?

1. whether there is bruising at the shoulder area.
2. whether the right arm is shorter than the left.
3. the amount of pain the patient is experiencing.
4. how much range of motion (ROM) is present.

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Question 4 : What is known as a fracture with bending and splintering?

1. Complete fracture
2. Comminuted fracture
3. Greenstick fracture
4. Pott’s fracture

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Question 5 : In which bone the Hangman’s fracture occurs?

1. The distal end of the radius
2. The distal part of the fibula
3. Pedicle of C-2 cervical vertebrae
4. Neck of femur

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Question 6 : What is known as the fibrous membrane covering the bone?

1. Periosteum
2. Epiphysis
3. Diaphysis
4. Medullary Cavity

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Question 7 : When working with a patient whose job involves many hours of word processing, the nurse will teach the patient about the need to

1. do stretching and warm-up exercises before starting work.
2. wrap the wrists with a compression bandage every morning.
3. use acetaminophen (Tylenol) instead of NSAIDs for wrist pain.
4. obtain a keyboard pad to support the wrist while word processing.

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Question 8 : A patient arrives in the emergency department with ankle swelling and severe pain after twisting the ankle playing soccer. All of the following orders are written by the health care provider. Which one will the nurse act on first?

1. Administer naproxen 500 mg PO.
2. Wrap the ankle and apply an ice pack.
3. Give acetaminophen with codeine
4. Take the patient to the radiology department for x-rays.

 

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Question 9 : What is the other name of hairline fracture?

1. Comminuted fracture
2. Pathological fracture
3. Oblique fracture
4. Stress fracture

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Question 10 : The following things affect bone healing after fracture except?

1. Age of the person
2. Underlying bone pathology
3. Bone type
4. Arthroscopy

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Question 11 : What is the other name of necrotizing fasciitis?

1. Flesh-eating disease
2. Psoriasis
3. Seborrhea
4. Cellulitis

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Question 12 : While testing the patient's muscle strength, the nurse finds that the patient can flex the arms when no resistance is applied but is unable to flex when the nurse applies light resistance. The nurse should documents the patient's muscle strength as level

1. 1.
2. 2.
3. 3.
4. 4.

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Question 13 : Which type of bone fracture that is caused by a disease which leads to the weakness of the bone?

1. Compound fracture
2. Colle’s fracture
3. Pathological fracture
4. Greenstick fracture

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Question 14 : Which of the following is not a complication of fractures?

1. Vascular injury.
2. Nerve injury
3. Compartment syndrome.
4. Stroke

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Question 15 : What is the purpose of traction?

1. Increase the muscle spasm
2. Reduce the infection
3. Immobilize the fractured part
4. All of the above

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Question 16 : A patient with kyphosis is scheduled for dual-energy x-ray absorptiometry (DEXA) testing. The nurse will plan to
a. start an intravenous line.
b. screen the patient for shellfish allergies.
c. teach the patient that DEXA is noninvasive.
d. give an oral sedative.

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ANSWERS

Question 1 : Correct Answer: D

• Rationale: Comfortable shoes with good support will help to decrease the risk for falls. Scatter rugs should be eliminated, not just tacked down. Regular weight-bearing exercise will improve strength, but occasional exercise is not helpful in improving strength. Falls inside the home are responsible for many injuries.

 

Question 2 : Correct  Answer : B - Carpel Tunnel Release

 

Question 3 : Correct Answer: B

• Rationale: A shorter limb after a fall indicates a possible dislocation, which is an orthopedic emergency. The nurse will expect bruising and pain at the area, even without an injury that requires surgery. The shoulder should be immobilized until it is evaluated by the health care provider.

 

Question 4 : Correct Answer : 

 

Question 5 : Correct Answer : C - Pedicle of C-2 cervical vertebrae (Axis Bone).

 

Question 6 : Correct Answer : A - Periosteum

 

Question 7 : Correct Answer: D

• Rationale: Repetitive strain injuries caused by prolonged times working at a keyboard can be prevented by the use of a pad that will keep the wrists in a straight position. Stretching exercises during the day may be helpful, but these would not be needed before starting. Use of a compression bandage is not needed, although a splint may be used for carpal tunnel syndrome. NSAIDs are appropriate to use to decrease swelling.

 

Question 8 : Correct Answer: B

• Rationale: Immediate care after a sprain or strain injury includes the application of cold and compression to the injury to minimize swelling. The other actions should be taken after the ankle is wrapped with a compression bandage and ice is applied.

 

Question 9 : Correct Answer : D - Stress Fracture

Question 10 : 

Question 11 : Correct Answer : A - Flesh Eating disease

Question 12 : Answer: C

• Rationale: A level 3 indicates that the patient is unable to move against resistance but can move against gravity. Level 1 indicates minimal muscle contraction, level 2 indicates that the arm can move when gravity is eliminated, and level 4 indicates active movement with some resistance.

 

Question 13 : Correct Answer : C - Pathological Fracture

Question 14 : Correct Answer : D - Stroke

Question 15 : Correct Answer : 

Question 16 : Answer: C

• Rationale: DEXA testing is painless and noninvasive. No IV access is necessary. Contrast medium is not used. Because the procedure is painless, no antianxiety medications are required.

 

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More Useful Topics:

• Muscles of the body
• Numbers to learn for any medical exam
• Reasoning Questions for Nursing Exams
• 100 Important Points for DSSSB Nursing Exam
• Types of Fractures

 

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