OCC OCC Neurovascular Assessment & Monitoring

Question 1

The classic '5 P's' of neurovascular assessment include all of the following EXCEPT:

Accepted Answer

Perspiration

Answer

Pain

Answer

Pallor

Answer

Paresthesia

Question 2

A capillary refill time greater than how many seconds is considered abnormal in a casted extremity?

Accepted Answer

2 seconds

Answer

1 second

Answer

4 seconds

Answer

6 seconds

Question 3

Which nerve is assessed by testing sensation in the first dorsal web space (between the thumb and index finger) of the hand?

Accepted Answer

Superficial radial nerve

Answer

Ulnar nerve

Answer

Median nerve

Answer

Anterior interosseous nerve

Question 4

Which sign or symptom is typically the EARLIEST indicator of acute compartment syndrome?

Accepted Answer

Pain with passive stretch of muscles in the compartment

Answer

Pulselessness

Answer

Paralysis of affected muscles

Answer

Pallor of the distal extremity

Question 5

Pallor of the fingers in a patient with a freshly applied long arm cast most likely indicates:

Accepted Answer

Arterial compromise

Answer

Adequate venous return

Answer

Venous congestion

Answer

Normal post-application swelling

Question 6

The radial pulse is best assessed in a patient with a short arm cast by palpating at the:

Accepted Answer

Lateral wrist at the base of the thumb

Answer

Antecubital fossa

Answer

Medial aspect of the wrist

Answer

Dorsum of the hand

Question 7

Which assessment finding in a casted lower extremity requires IMMEDIATE notification of the supervising provider?

Accepted Answer

Absence of the dorsalis pedis pulse

Answer

Mild swelling of the toes

Answer

Warm and pink toes with brisk capillary refill

Answer

Slight itching sensation under the cast