CompTIA
Checkpoint
ISC
HP
Dell
EC-Council
EXIN
Fortinet
ITIL®
Juniper
PMI
Microsoft
VMware
Avaya
Google
Salesforce
Amazon
Palo Alto Networks
Certiport
ISC2
All Vendors
  2. Home
  3. Exams
  4. NCLEX
  5. NCLEX-RN

Free NCLEX-RN Exam Braindumps (page: 4)

Page 3 of 431
PDF with 862 Questions

A child sustains a supracondylar fracture of the femur. When assessing for vascular injury, the nurse should be
alert for the signs of ischemia, which include:

  1. Bleeding, bruising, and hemorrhage
  2. Increase in serum levels of creatinine, alkaline phosphatase, and aspartate transaminase
  3. Pain, pallor, pulselessness, paresthesia, and paralysis
  4. Generalized swelling, pain, and diminished functional use with muscle rigidity and crepitus

Answer(s): C

Explanation:

(A) Bleeding, bruising, and hemorrhage may occur due to injury but are not classic signs of ischemia. (B) An increase in serum levels of creatinine, alkaline phosphatase, and aspartate transaminase is related to the disruption of muscle integrity. (C) Classic signs of ischemia related to vascular injury secondary to long bone fractures include the five "P's": pain, pallor, pulselessness, paresthesia, and paralysis. (D) Generalized swelling, pain, and diminished functional use with muscle rigidity and crepitus are common clinical manifestations of a fracture but not ischemia.



A child sustains a supracondylar fracture of the femur. When assessing for vascular injury, the nurse should be
alert for the signs of ischemia, which include:

  1. Bleeding, bruising, and hemorrhage
  2. Increase in serum levels of creatinine, alkaline phosphatase, and aspartate transaminase
  3. Pain, pallor, pulselessness, paresthesia, and paralysis
  4. Generalized swelling, pain, and diminished functional use with muscle rigidity and crepitus

Answer(s): C

Explanation:

(A) Bleeding, bruising, and hemorrhage may occur due to injury but are not classic signs of ischemia. (B) An increase in serum levels of creatinine, alkaline phosphatase, and aspartate transaminase is related to the disruption of muscle integrity. (C) Classic signs of ischemia related to vascular injury secondary to long bone fractures include the five "P's": pain, pallor, pulselessness, paresthesia, and paralysis. (D) Generalized swelling, pain, and diminished functional use with muscle rigidity and crepitus are common clinical manifestations of a fracture but not ischemia.



Proper positioning for the child who is in Bryant's traction is:

  1. Both hips flexed at a 90-degree angle with the knees extended and the buttocks elevated off the bed
  2. Both legs extended, and the hips are not flexed
  3. The affected leg extended with slight hip flexion
  4. Both hips and knees maintained at a 90-degree flexion angle, and the back flat on the bed

Answer(s): A

Explanation:

(A) The child's weight supplies the countertraction for Bryant's traction; the buttocks are slightly elevated off the bed, and the hips are flexed at a 90-degree angle. Both legs are suspended by skin traction. (B) The child in Buck's extension traction maintains the legs extended and parallel to the bed. (C) The child in Russell traction maintains hip flexion of the affected leg at the prescribed angle with the leg extended. (D) The child in "90­90" traction maintains both hips and knees at a 90-degree flexion angle and the back is flat on the bed.



Proper positioning for the child who is in Bryant's traction is:

  1. Both hips flexed at a 90-degree angle with the knees extended and the buttocks elevated off the bed
  2. Both legs extended, and the hips are not flexed
  3. The affected leg extended with slight hip flexion
  4. Both hips and knees maintained at a 90-degree flexion angle, and the back flat on the bed

Answer(s): A

Explanation:

(A) The child's weight supplies the countertraction for Bryant's traction; the buttocks are slightly elevated off the bed, and the hips are flexed at a 90-degree angle. Both legs are suspended by skin traction. (B) The child in Buck's extension traction maintains the legs extended and parallel to the bed. (C) The child in Russell traction maintains hip flexion of the affected leg at the prescribed angle with the leg extended. (D) The child in "90­90" traction maintains both hips and knees at a 90-degree flexion angle and the back is flat on the bed.






Post your Comments and Discuss NCLEX NCLEX-RN exam with other Community members:

NCLEX-RN Discussions & Posts