AMG School of Licensed Practical Nursing
NURSING 241
NCLEX-Style Question Bank – Chapter 37:
Musculoskeletal Trauma
1) Types of fracture
Which is the correct distinction between a closed and open fracture?
A. Closed fracture involves multiple fragments.
B. Open fracture breaks through skin, while closed does not.
C. Closed fractures only occur in elderly p
...[Show More]
NCLEX-Style Question Bank – Chapter 37:
Musculoskeletal Trauma
1) Types of fracture
Which is the correct distinction between a closed and open fracture?
A. Closed fracture involves multiple fragments.
B. Open fracture breaks through skin, while closed does not.
C. Closed fractures only occur in elderly patients.
D. Open fractures heal faster due to exposure.
Answer: B
Rationale: A closed fracture does not communicate with the external environment. Open/compound
fractures break through the skin, increasing infection risk.
2) Manifestations of fracture
Which clinical sign most strongly suggests a fracture?
A. Mild bruising only
B. Loss of function and crepitus
C. Fever and chills
D. Absence of swelling
Answer: B
Rationale: Key fracture manifestations include pain, loss of function, deformity, crepitus, shortening,
swelling/discoloration.
3) Emergency management priority
What is the first priority when providing emergency care for a fracture?
A. Splint after checking neurovascular status
B. Reduce the fracture immediately
C. Apply ice only
D. Ambulate to test mobility
Answer: A
Rationale: Immobilize and splint the affected area after assessing neurovascular status. Fractures
should not be reduced in the field.
4) Open fracture care
The nurse should cover an open fracture with:
A. Moist warm towel
B. Sterile dressing
C. Elastic compression wrap
D. Ice pack
Answer: B
Rationale: Sterile dressing prevents contamination. Never attempt to reduce the fracture in emergency
management.
5) Closed reduction technique
Closed reduction involves:
A. Internal fixation with screws
B. Traction and manual manipulation
C. Surgical bone graft
D. Cast removal
Answer: B
Rationale: Closed reduction = external manual manipulation and traction to align fragments.
6) Open reduction
Which statement is true about open reduction?
A. No devices are used.
B. Metallic pins, wires, plates, or screws hold fragments.
C. Only splints are applied.
D. It is always avoided.
Answer: B
Rationale: Open reduction uses surgical fixation devices to secure fragments
[Show Less]
