NCLEX-RN Sample Question

Question

The nurse performs a home-care visit on a 3-year-old with a cast on the left arm due to a fracture of the radius. The nurse is MOST concerned by which observation?

  • 1. The mother wraps the cast with plastic wrap prior to bathing the child.
  • 2. The child elevates the left arm on a pillow while watching television.
  • 3. The child is sitting at the table coloring in a coloring book.
  • 4. The mother encourages the child to wiggle the fingers on the left hand.

Answer

1. The mother wraps the cast with plastic wrap prior to bathing the child.

INCORRECT- will waterproof the cast against splashes; cast should be kept out of water

2. The child elevates the left arm on a pillow while watching television.

INCORRECT- will prevent swelling; can support with a sling or on a pillow

3. The child is sitting at the table coloring in a coloring book.

CORRECT- prevent child from inserting small items (such as crayons) inside cast

4. The mother encourages the child to wiggle the fingers on the left hand.

INCORRECT- indicates good circulation; also check for swelling, discoloration, or decreased sensation

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