Orthopedic Nursing Certified Exam - EAQ
Orthopedic Nursing Exam Questions with 100% Correct Solutions
- EAQ
An older adult may experience which musculoskeletal system change? Select all that apply.
-Increased bone density
-Earlier fatigue with activity
-Decreased basal metabolic rate
-Increased risk for cartilage erosion
-Increased water in discs between vertebrae - Correct Answer- -Earlier fatigue with activity
-Decreased basal metabolic rate
-Increased risk for cartilage erosion
**Many functional problems experienced by older adults are related to changes in the
musculoskeletal system. Changes may affect older adults ability to complete self care tasks and
purse other usual activities. Musculoskeletal system assessment differences for older adults
include easier fatigue with activity, decreased basal metabolic rate, and increased risk for
cartilage erosion that leads to direct contact between bone ends and overgrowth of bone around
joint margins.
**Older adults may experience decreased bone density and strength, which increases their risk
for osteopenia and osteoporosis. There is a loss of water from discs between vertebrae.
Which question will the nurse ask when assessing the health history of a patient with severe back
pain in the lumbar region? Select all that apply.
1
,Orthopedic Nursing Certified Exam - EAQ
-Have you been vaccinated against hepatitis?
-Does your work involve lifting any heavy objects?
-Have you taken any high dose antibiotic recently?
-Has this pain affected your social or professional life?
-Do you consume any dietary supplements like calcium or vitamin D?
-Do you require frequent change of position while you are sleeping because of the pain? -
Correct Answer- -Does your work involve lifting any heavy objects?
-Has this pain affected your social or professional life?
-Do you consume any dietary supplements like calcium or vitamin D?
-Do you require frequent change of position while you are sleeping because of the pain?
**Lifting heavy objects can lead to back pain; therefore it is important to know whether the
patient's work involves lifting heavy objects. Knowing if the pain has affected the patient's social
and professional life helps to determine the severity of the problem. Knowing whether the patient
is taking dietary supplements like calcium and vitamin D helps to understand how the patient is
treating self and also helps to plan future interventions for the patient. Knowing whether the
patient has frequent changes in position while asleep helps to understand the severity of the
complaint.
**Vaccination against hepatitis is not connected to back pain. Antibiotic therapy is not relevant
in the back pain assessment.
Which diagnostic test does the nurse expect will be prescribed for a patient with a history of falls
who is suspected of having a fracture in the radius of the right hand?
-X-ray
-Diskogram
2
,Orthopedic Nursing Certified Exam - EAQ
-Computed tomography (CT) scan
-Magnetic resonance imaging (MRI) - Correct Answer- -X-ray
**X-ray is the preliminary diagnostic test for diagnosing fractures.
**Diskogram involves x-ray of cervical or lumbar intervertebral disc after injection of contrast
media into the nucleus pulposus. It helps in visualization of intervertebral disc abnormalities. It
does not aid in assessing the fracture in the radius of the right hand. CT scan and MRI are
advanced tests to analyze the condition of various other organs and body parts.
An arthroscopy may be prescribed to identify which condition?
-Fractures of the bone
-The risk for osteoporosis
-Articular cartilage abnormality
-Peripheral vascular patency - Correct Answer- -Articular cartilage abnormality
**An arthroscopy involves insertion of an arthroscopy into a joint to see the interior of the joint
cavity. This can be used for surgery, repair of joint structures, and diagnosis of abnormalities of
meniscus, articular cartilage, ligaments, or joint capsules.
**Fractures of the bones can be identified with traditional, non contrasted x-ray. Risk for
osteoporosis is measure via a bone density test. Peripheral vascular patency is assessed with
Doppler ultrasound.
Active movement against gravity and some resistance is considered which muscle strength
grade?
-1/5
-2/5
3
, Orthopedic Nursing Certified Exam - EAQ
-3/5
-4/5 - Correct Answer- -4/5
**A score of 4/5 means active movement against gravity with some resistance.
**1/5 means a barely detectable flicker or trace of contraction with observation or palpitation.
Active movement of a body part with elimination of gravity is a score of 2/5. A score of 3/5
reveals active movement against gravity and not against resistance. 5/5 means active movement
against full resistance without evident fatigue.
Which intervention will the nurse include to prepare a patient for a computed tomography (CT)
scan of the knee joint? Select all that apply.
-Ensure that the knee is shaved completely.
-Administer local anesthesia and obtain a blood sample.
-Inform the patient that procedure typically causes sharp pain.
-Inform the patient of the importance of remaining still during the procedure.
-If a contrast medium is being used, verify that patient does not have shellfish allergy. - Correct
Answer- -Inform the patient of the importance of remaining still during the procedure.
-If a contrast medium is being used, verify that patient does not have shellfish allergy.
**While preparing a patient for a CT scan, the nurse should inform the patient that it is important
to remain still during the procedure. If a contrast medium is being used, verify that the patient
does not have a shellfish allergy.
**A CT scan is not expected to be painful, although the patient may have a feeling of warmth
and flushing with the contrast medium injection. There is no need to shave the patient because
the procedure does not involve any invasive techniques. For a CT scan, local anesthesia and
blood samples are not needed because it is not a noninvasive procedure.
4
Orthopedic Nursing Exam Questions with 100% Correct Solutions
- EAQ
An older adult may experience which musculoskeletal system change? Select all that apply.
-Increased bone density
-Earlier fatigue with activity
-Decreased basal metabolic rate
-Increased risk for cartilage erosion
-Increased water in discs between vertebrae - Correct Answer- -Earlier fatigue with activity
-Decreased basal metabolic rate
-Increased risk for cartilage erosion
**Many functional problems experienced by older adults are related to changes in the
musculoskeletal system. Changes may affect older adults ability to complete self care tasks and
purse other usual activities. Musculoskeletal system assessment differences for older adults
include easier fatigue with activity, decreased basal metabolic rate, and increased risk for
cartilage erosion that leads to direct contact between bone ends and overgrowth of bone around
joint margins.
**Older adults may experience decreased bone density and strength, which increases their risk
for osteopenia and osteoporosis. There is a loss of water from discs between vertebrae.
Which question will the nurse ask when assessing the health history of a patient with severe back
pain in the lumbar region? Select all that apply.
1
,Orthopedic Nursing Certified Exam - EAQ
-Have you been vaccinated against hepatitis?
-Does your work involve lifting any heavy objects?
-Have you taken any high dose antibiotic recently?
-Has this pain affected your social or professional life?
-Do you consume any dietary supplements like calcium or vitamin D?
-Do you require frequent change of position while you are sleeping because of the pain? -
Correct Answer- -Does your work involve lifting any heavy objects?
-Has this pain affected your social or professional life?
-Do you consume any dietary supplements like calcium or vitamin D?
-Do you require frequent change of position while you are sleeping because of the pain?
**Lifting heavy objects can lead to back pain; therefore it is important to know whether the
patient's work involves lifting heavy objects. Knowing if the pain has affected the patient's social
and professional life helps to determine the severity of the problem. Knowing whether the patient
is taking dietary supplements like calcium and vitamin D helps to understand how the patient is
treating self and also helps to plan future interventions for the patient. Knowing whether the
patient has frequent changes in position while asleep helps to understand the severity of the
complaint.
**Vaccination against hepatitis is not connected to back pain. Antibiotic therapy is not relevant
in the back pain assessment.
Which diagnostic test does the nurse expect will be prescribed for a patient with a history of falls
who is suspected of having a fracture in the radius of the right hand?
-X-ray
-Diskogram
2
,Orthopedic Nursing Certified Exam - EAQ
-Computed tomography (CT) scan
-Magnetic resonance imaging (MRI) - Correct Answer- -X-ray
**X-ray is the preliminary diagnostic test for diagnosing fractures.
**Diskogram involves x-ray of cervical or lumbar intervertebral disc after injection of contrast
media into the nucleus pulposus. It helps in visualization of intervertebral disc abnormalities. It
does not aid in assessing the fracture in the radius of the right hand. CT scan and MRI are
advanced tests to analyze the condition of various other organs and body parts.
An arthroscopy may be prescribed to identify which condition?
-Fractures of the bone
-The risk for osteoporosis
-Articular cartilage abnormality
-Peripheral vascular patency - Correct Answer- -Articular cartilage abnormality
**An arthroscopy involves insertion of an arthroscopy into a joint to see the interior of the joint
cavity. This can be used for surgery, repair of joint structures, and diagnosis of abnormalities of
meniscus, articular cartilage, ligaments, or joint capsules.
**Fractures of the bones can be identified with traditional, non contrasted x-ray. Risk for
osteoporosis is measure via a bone density test. Peripheral vascular patency is assessed with
Doppler ultrasound.
Active movement against gravity and some resistance is considered which muscle strength
grade?
-1/5
-2/5
3
, Orthopedic Nursing Certified Exam - EAQ
-3/5
-4/5 - Correct Answer- -4/5
**A score of 4/5 means active movement against gravity with some resistance.
**1/5 means a barely detectable flicker or trace of contraction with observation or palpitation.
Active movement of a body part with elimination of gravity is a score of 2/5. A score of 3/5
reveals active movement against gravity and not against resistance. 5/5 means active movement
against full resistance without evident fatigue.
Which intervention will the nurse include to prepare a patient for a computed tomography (CT)
scan of the knee joint? Select all that apply.
-Ensure that the knee is shaved completely.
-Administer local anesthesia and obtain a blood sample.
-Inform the patient that procedure typically causes sharp pain.
-Inform the patient of the importance of remaining still during the procedure.
-If a contrast medium is being used, verify that patient does not have shellfish allergy. - Correct
Answer- -Inform the patient of the importance of remaining still during the procedure.
-If a contrast medium is being used, verify that patient does not have shellfish allergy.
**While preparing a patient for a CT scan, the nurse should inform the patient that it is important
to remain still during the procedure. If a contrast medium is being used, verify that the patient
does not have a shellfish allergy.
**A CT scan is not expected to be painful, although the patient may have a feeling of warmth
and flushing with the contrast medium injection. There is no need to shave the patient because
the procedure does not involve any invasive techniques. For a CT scan, local anesthesia and
blood samples are not needed because it is not a noninvasive procedure.
4
