NCLEX CRUSADE ACADEMY TEST - 4 PATIENT POSITIONING SAFETY

1. A patient presents with excessive stretching and tearing of a muscle or tendon. Which injury does the nurse suspect?. Sprain. Strain. Dislocation. Fracture.

2. A patient twisted their ankle after stepping on an uneven surface. What structure is most likely injured?. Muscle fibers. Ligaments. Tendons. Bone cortex.

3. Which intervention is included in the R.I.C.E. protocol for acute musculoskeletal injury?. Repositioning. Immobilization. Rest. Rotation exercises.

4. What is the primary purpose of a splint in orthopedic care?. Permanent fracture stabilization. Long term immobilization. Short term stabilization. Joint replacement.

5. Why should external splints not be placed on the thorax?. They interfere with circulation. They restrict chest expansion. They cause nerve compression. They increase fracture risk.

6. Which orthopedic device is typically used during the recovery or rehabilitation phase?. Splints. Braces. Casts. Traction.

7. Which device provides uniform pressure and stabilizes simple fractures during long term immobilization?. Splint. Brace. Cast. Sling.

8. A nurse handling a wet cast should use which technique?. Palms of the hands. Fingertips. Two fingers. Forceps.

9. Which nursing intervention promotes venous return after cast application?. Ice under the cast. Elevation above heart level. Immobilization. Compression dressing.

10. A patient reports severe pain unrelieved by analgesics after a fracture. What condition should the nurse suspect?. Osteomyelitis. Compartment syndrome. Tendinitis. Arthritis.

11. Which symptom is the earliest sign of neurovascular compromise?. Pallor. Paralysis. Pain. Pulselessness.

12. Which of the following is included in the '6 Ps' of compartment syndrome assessment?. Pressure. Pain. Pulse rate. Perfusion index.

13. What is the definitive surgical treatment for compartment syndrome?. Arthroscopy. Amputation. Fasciotomy. Internal fixation.

14. After fasciotomy, how is the wound typically managed initially?. Sutured immediately. Left open with sterile dressing. Covered with compression wrap. Packed with gauze only.

15. Which traction type uses pins inserted directly into bone?. Skin traction. Bucks traction. Skeletal traction. Cervical traction.

16. What is the typical weight range used in skin traction such as Bucks traction?. 5-10 lb. 20-30 lb. 30-50 lb. 50-70 lb.

17. Which action is appropriate when caring for traction equipment?. Adjust weights regularly. Allow ropes to slack. Ensure weights hang freely. Place blankets on lines.

18. Which complication of immobility involves decreased thoracic expansion and retained secretions?. Pneumonia. Hypertension. Arrhythmia. Stroke.

19. What gastrointestinal complication may occur with prolonged immobility?. Gastritis. Paralytic ileus. Peptic ulcer. GERD.

20. Which complication results from bone demineralization during immobility?. Renal calculi. Liver stones. Gallstones. Pancreatitis.

21. Which type of exercise involves muscle contraction without joint movement?. Isometric. Isotonic. Aerobic. Passive.

22. Which activity is an example of isotonic exercise?. Kegel contractions. Pushing against a wall. Walking. Holding a plank.

23. During range of motion exercises, the nurse should stop if the patient experiences: Mild discomfort. Fatigue. Pain or resistance. Muscle stretch.

24. What minimum daily fluid intake is recommended to reduce urinary complications during immobility?. 250 mL. 500 mL. 1000 mL. 1500 mL.

25. Which patient position provides access to spinal structures and posterior thorax?. Supine. Prone. Fowlers. Sims.

26. Which position is the preferred position during CPR?. Supine. Prone. Sims. Fowlers.

27. After a liver biopsy, which position is recommended?. Left lateral. Right side lying. Prone. Sims.

28. Which position helps prevent aspiration during procedures?. Trendelenburg. Sims. Prone. Reverse Trendelenburg.

29. Which Fowlers position angle is approximately 90 degrees?. Semi Fowlers. Standard Fowlers. High Fowlers. Reverse Fowlers.

30. Which laboratory finding is characteristic of gout?. Bacterial culture positive synovial fluid. Uric acid crystals in synovial fluid. Calcium deposits. Reduced leukocytes.