Ortho Nursing Certified Exam
ORTHO NURSING CERTIFIED EXAM - QUESTIONS
AND ANSWERS
Identify various surgical and non-surgical orthopaedic injuries? - Correct Answer- Surgical:
fractures, dislocated joint, hip replacement
Non-surgical: sprain, strain
What is traction? - Correct Answer- Utilizes a pulling force to maintain alignment of the bone so
that healing can occur.
It also reduces the fracture and decrease muscle spams -> decreases pain.
Describe the nurgement related to a client in traction? - Correct Answer- - Weight must be hang
free and be properly prescribed weight
- Linens should not lie on ropes
- Ropes should remain within pulley without fraying or looseness
- Unless there is an emergency, weights should not be removed on clients with skeletal traction in
place.
- Skeletal traction requires assessment for signs of inflammation or infection at the entry sites of
pins and needles.
- Assess circulation, pulses, and movement of extremity
- Maintain proper body alignment
What is the common complication that may occur after fracture or orthopedic injuries? - Correct
Answer- Compartment Syndrome
DVT
Fat Embolism
, Ortho Nursing Certified Exam
What is compartment syndrome? - Correct Answer- Pressure within different compartments
(nerves, blood vessels, muscle) that cause decreased circulation to the area- usually the leg and
the forearm.
It may lead to motor weakness, infection , and amputation of the limb.
Signs and Symptoms of Compartment Syndrome - Correct Answer- Cyanosis
Numbness
Pain (sometimes it may NOT be relieved by meds)
Pallor
Paralysis
Swelling
Tingling
(or 5 P's: Pain, Pallor, Paresthesia, Pulselessness, Paralysis)
What is the management of compartment syndrome? - Correct Answer- Goal: relieve the
pressure
2 types of treatment: bivalve and fasciotomy
Perform Pain(PQRST),CWMS/DVT assessment, pedal pulses. Inform physician or charge nurse
after.
What is a DVT? - Correct Answer- Blood clot w/in a deep vein (i.e. femoral, popliteal,
iliofemoral)-> swelling, redness warmth & pain usually on the calf.
What is a cast? - Correct Answer- rigid external immobilizing device that is molded to the
contours of the fractured area. Allows the bone to stay in place and heal.
ORTHO NURSING CERTIFIED EXAM - QUESTIONS
AND ANSWERS
Identify various surgical and non-surgical orthopaedic injuries? - Correct Answer- Surgical:
fractures, dislocated joint, hip replacement
Non-surgical: sprain, strain
What is traction? - Correct Answer- Utilizes a pulling force to maintain alignment of the bone so
that healing can occur.
It also reduces the fracture and decrease muscle spams -> decreases pain.
Describe the nurgement related to a client in traction? - Correct Answer- - Weight must be hang
free and be properly prescribed weight
- Linens should not lie on ropes
- Ropes should remain within pulley without fraying or looseness
- Unless there is an emergency, weights should not be removed on clients with skeletal traction in
place.
- Skeletal traction requires assessment for signs of inflammation or infection at the entry sites of
pins and needles.
- Assess circulation, pulses, and movement of extremity
- Maintain proper body alignment
What is the common complication that may occur after fracture or orthopedic injuries? - Correct
Answer- Compartment Syndrome
DVT
Fat Embolism
, Ortho Nursing Certified Exam
What is compartment syndrome? - Correct Answer- Pressure within different compartments
(nerves, blood vessels, muscle) that cause decreased circulation to the area- usually the leg and
the forearm.
It may lead to motor weakness, infection , and amputation of the limb.
Signs and Symptoms of Compartment Syndrome - Correct Answer- Cyanosis
Numbness
Pain (sometimes it may NOT be relieved by meds)
Pallor
Paralysis
Swelling
Tingling
(or 5 P's: Pain, Pallor, Paresthesia, Pulselessness, Paralysis)
What is the management of compartment syndrome? - Correct Answer- Goal: relieve the
pressure
2 types of treatment: bivalve and fasciotomy
Perform Pain(PQRST),CWMS/DVT assessment, pedal pulses. Inform physician or charge nurse
after.
What is a DVT? - Correct Answer- Blood clot w/in a deep vein (i.e. femoral, popliteal,
iliofemoral)-> swelling, redness warmth & pain usually on the calf.
What is a cast? - Correct Answer- rigid external immobilizing device that is molded to the
contours of the fractured area. Allows the bone to stay in place and heal.
