Orthopedic Nursing Exam with Questions and
Answers| Latest Version 2024-25
Fracture - ✔✔- a break in the continuity of the bone
symptoms - pain, deformity, edema, crepitus
Complete vs. Incomplete Fractures - ✔✔total segment transaction vs partial
With vs Without Displacement Fracture - ✔✔unstable vs stable
-same position or shifted
Simple vs Compound Fracture - ✔✔closed vs open
Fracture Impact - ✔✔- muscles
- blood vessels
- nerves
- tendons
- results : soft tissue damage, blood loss, edema
Goal of Reduction - ✔✔- fix fracture
- approximate segments
- restore normal position
Closed Reduction - ✔✔- manual manipulation of skin
Open Reduction - ✔✔- surgical manipulation of bone
, Immobilization - ✔✔- goal : fixation/alignment of segments
Methods of Immobilization - ✔✔- Internal fixation
- External fixation
Internal Fixation - ✔✔- pins, plates, rods, hardware
- advantages = fast ambulation
- disadvantages = surgery is required
External Fixation - ✔✔- casts, splints, external fixation devices (rods outside limb)
- advantages = may not require surgery, may allow for more movement
- disadvantages = cast require slow ambulation, no movement of limb, EFD requires surgery
ORIF - ✔✔- open reduction internal fixation
Principles of Cast Care - ✔✔- elevation
- turn/rotate
- skin edges - pad PRN
- pain control
- window/bivalve
- hot spots/drainage
- neuro checks
- cool air to relieve itching
Traction - ✔✔- maintain the pulling force and direction of traction
- perform neuro checks
- assess for common complications of immobility
Answers| Latest Version 2024-25
Fracture - ✔✔- a break in the continuity of the bone
symptoms - pain, deformity, edema, crepitus
Complete vs. Incomplete Fractures - ✔✔total segment transaction vs partial
With vs Without Displacement Fracture - ✔✔unstable vs stable
-same position or shifted
Simple vs Compound Fracture - ✔✔closed vs open
Fracture Impact - ✔✔- muscles
- blood vessels
- nerves
- tendons
- results : soft tissue damage, blood loss, edema
Goal of Reduction - ✔✔- fix fracture
- approximate segments
- restore normal position
Closed Reduction - ✔✔- manual manipulation of skin
Open Reduction - ✔✔- surgical manipulation of bone
, Immobilization - ✔✔- goal : fixation/alignment of segments
Methods of Immobilization - ✔✔- Internal fixation
- External fixation
Internal Fixation - ✔✔- pins, plates, rods, hardware
- advantages = fast ambulation
- disadvantages = surgery is required
External Fixation - ✔✔- casts, splints, external fixation devices (rods outside limb)
- advantages = may not require surgery, may allow for more movement
- disadvantages = cast require slow ambulation, no movement of limb, EFD requires surgery
ORIF - ✔✔- open reduction internal fixation
Principles of Cast Care - ✔✔- elevation
- turn/rotate
- skin edges - pad PRN
- pain control
- window/bivalve
- hot spots/drainage
- neuro checks
- cool air to relieve itching
Traction - ✔✔- maintain the pulling force and direction of traction
- perform neuro checks
- assess for common complications of immobility
