Orthopedic Nursing Care Cert Exam
Questions and elaborated Answers 100% Verified 2025
1. What is the most commonly reported injuries?: Contusions, Strains, and Sprains.
2. Contusion: Blunt force-bleeding into soft tissue, but skin remains intact.
(Swelling, discoloration of skin) Least serious
3. Strain: Stretching injury to a muscle or a muscle-tendon unit. Caused by mechan- ical
overloading. (Pain, limited motion, muscle spasms/weakness, swelling.) Most common:
lower abck and Hamstring muscle
4. Sprain: Stretch/tear of ligaments surrounding joint. (Loss of the ability to move or use
the joint, feeling a "pop" or tear, discoloration, pain, rapid swelling.) Most common: ankles
and knees
5. RICE: Rest Ice Compression Elevation 24-48hrs do RICE.
6. Joint dislocation: Trauma or illness forces ends of the bones from normal position.
(Pain, deformity, limited motion, shorter limb) Care: Reduction by manual traction or
surgery immobilization, hip dislocation requires immediate reduction to prevent
complications to prevent necrosis.
7. Subluxation: partial dislocation is which the bones of the joint remain in partial contact
8. Necrosis: Death of bone tissue
9. Electrical Bone Stimulation: Used to treat fractures that aren't healing appropri- ately,
increases migration of osteoblasts and osteoclasts to fracture site.Application of an
electrical current
10. What to do for fracture of the skull?: Assess patient for neurologic changes, document
LOC, depressed skull fracture can cause neurologic damage.
11. Fracture Care: Emergency Care: Immobilize the fracture, maintain tissue perfu- sion,
prevent infection. Medications: Analgesics, NSAIDs, antibiotics,anticoagulants, stool
softeners, antacids. Surgery: External fixation device, ORIF
12. Fracture of the Face: Manifestations: Hematoma, pain, edema, bony deformity. Focus on
airway, assess neurologic, body image disturbance, assess pain
13. Fracture of the Spine: Cervical, lumbar, thoracic, or sacral...damage to spinal cord.
MOST SEVERE, can result in ischemia and cause permanent paralysis.
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, 14. Fracture of the Clavicle: Usually midclavicular, can damage subclavian vessels or lung.
Seen most common with falls
15. Fracture of Humerus: Complications: nerve and ligament damage, frozen or stiff
joints, and malunion--fractured fragments are not in good position... Fractures of the
proximal humerus are more common in older adults.
16. Fracture of the Elbow: Usually distal humerus, common complications: nerve or artery
damage, hemiartrosis, Volkmann's contracture (claw deformity of hand and fingers). Fall or
direct blow is main report.
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Questions and elaborated Answers 100% Verified 2025
1. What is the most commonly reported injuries?: Contusions, Strains, and Sprains.
2. Contusion: Blunt force-bleeding into soft tissue, but skin remains intact.
(Swelling, discoloration of skin) Least serious
3. Strain: Stretching injury to a muscle or a muscle-tendon unit. Caused by mechan- ical
overloading. (Pain, limited motion, muscle spasms/weakness, swelling.) Most common:
lower abck and Hamstring muscle
4. Sprain: Stretch/tear of ligaments surrounding joint. (Loss of the ability to move or use
the joint, feeling a "pop" or tear, discoloration, pain, rapid swelling.) Most common: ankles
and knees
5. RICE: Rest Ice Compression Elevation 24-48hrs do RICE.
6. Joint dislocation: Trauma or illness forces ends of the bones from normal position.
(Pain, deformity, limited motion, shorter limb) Care: Reduction by manual traction or
surgery immobilization, hip dislocation requires immediate reduction to prevent
complications to prevent necrosis.
7. Subluxation: partial dislocation is which the bones of the joint remain in partial contact
8. Necrosis: Death of bone tissue
9. Electrical Bone Stimulation: Used to treat fractures that aren't healing appropri- ately,
increases migration of osteoblasts and osteoclasts to fracture site.Application of an
electrical current
10. What to do for fracture of the skull?: Assess patient for neurologic changes, document
LOC, depressed skull fracture can cause neurologic damage.
11. Fracture Care: Emergency Care: Immobilize the fracture, maintain tissue perfu- sion,
prevent infection. Medications: Analgesics, NSAIDs, antibiotics,anticoagulants, stool
softeners, antacids. Surgery: External fixation device, ORIF
12. Fracture of the Face: Manifestations: Hematoma, pain, edema, bony deformity. Focus on
airway, assess neurologic, body image disturbance, assess pain
13. Fracture of the Spine: Cervical, lumbar, thoracic, or sacral...damage to spinal cord.
MOST SEVERE, can result in ischemia and cause permanent paralysis.
1/
11
, 14. Fracture of the Clavicle: Usually midclavicular, can damage subclavian vessels or lung.
Seen most common with falls
15. Fracture of Humerus: Complications: nerve and ligament damage, frozen or stiff
joints, and malunion--fractured fragments are not in good position... Fractures of the
proximal humerus are more common in older adults.
16. Fracture of the Elbow: Usually distal humerus, common complications: nerve or artery
damage, hemiartrosis, Volkmann's contracture (claw deformity of hand and fingers). Fall or
direct blow is main report.
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11
