ONC Certification study Guide with
Complete Solutions
32 year old woman with autoimmunde myesthenia gravis has fluctuation but increasing
muscle weakness and has begun to sleep in her chair because she sleeps better sitting
upright. she yawns and sighs frequently which intervention is most appropriate with
these symptoms? - ANSWER-respiratory assessment with pulmonary function tests.
35 year old female involved in a side impact automobile collision suffered pronouced
cervical rotation and complains of severe right sided neck pain and severe unremitting
right side headache and exhibits ecchymosis and swelling of right neck and right
opthalmic ptosis with contraction of the pupil what is most likely reason for symptoms. -
ANSWER-carotid dissection
36 year old female has bee training to run a marathon but develops increasing pain
while running and point tenderness in shine. x ray is negative for fx what further test is
indicated? - ANSWER-bone scan
36 year old male falls on elbow, extremely painful and flexed at 60 degree angle.
spasms are occuring but circulation is good. what do you do? - ANSWER-attempt to
securely splint arm without attempting to change flexion
56 year old female with osteopenia tell the ortho nurse that she plans to start an
exercise program to prevent more bone loss. what exercise would be best? - ANSWER-
bicycling
56 YO arthritic woman is chari bound with total score on the braden of 16 sensory prec
4 moisture 3 activity 2 mobility 3 nutrition 2 and friction and sheer 2 what is accurate
descritption of this patients risk? - ANSWER-breakpoint for risk (moderate)
56 YO female has pain and swelling of the small joints of the hands and wrist. Which
test confirms rheumatoid arthritis? - ANSWER-rheumatoid factor and anti citrullinated
protein antibody ACPA
8 year old child is relearning to walk after serious injury. which response to "i cant do
this" shows reflective listening? - ANSWER-New exercises can be scary because you
don't know whats going to happen
a 12 year old child with seropositive polyarticular juvenile idiopathic/rheumatoid arthritis
has severe morning pain and stiffness and is reluctant to get out of bed. what
, intervention would be most helpful? - ANSWER-set an electric blanket to turn on 10 min
before the child arises
A 14 year old fell during a baseball game suffering first degree ankle sprain, physician
rec standard conservative tx for 24 hours then contrast baths, which correctly describes
contrast baths - ANSWER-soak foot in cold water for 15 min followed by warm for 15
min QID
a 16 year old adolecent playing basketball sprains his ankle (grade II inversion injury)
what tx is most likely? - ANSWER-RICE
a 16 year old girl playing soccer fell, resulting in a lateral patellar dislocation with
hemarthosis. The knee was relocaed and hemarthrosis aspirated how long should the
extension brace be worn? - ANSWER-3-4 weeks
a 30 year old expert in martial arts developed turf toe from excess flexion of great toe.
once injury has healed what precautions should the patient use to prevent reinjury -
ANSWER-wear a brace to support the toe or hard soled shoes
a 42 YO client who experience a traumatic BE amputation has been fitted for a
prosthesis what is the first task to be completed? - ANSWER-education on prosthetic
use, including overuse and nerve entrapment
a 60 year old woman has osteoarthritis of both knees. which of the following most
suggests the need for intervention? - ANSWER-patient is 5'6" and weights 250 pounds
a 70 year old patient with fracture of the proximal femur develops sudden onset of
hypoxia, tachypnea, high fever, buccal and conjuctival petichaiae and tachycardia 24
hours after injury, initial blood gasses indicate respiratory alkalosis, which complication
is most likely the cause. - ANSWER-fat embolism syndrome.
a bed bound patient has a 1.5 inch foam overlay over her mattress, the nurse places
her hand under teh overlay and finds that it has compressed to 0.75 inches, what does
this indicate? - ANSWER-bottoming out
a child is having serial plaster casts for treatment of talipes equinovarus (clubfoot) what
should the parents be advised to do before bringing the child in for a cast change? -
ANSWER-soak the cast off
a child with polyartivular JI/RA is non responsive to other drugs and is going to receive a
TNF blocking agent (Infliximab) remicade what test must be completed prior to admin of
med - ANSWER-TB test
a conscious and responsive pt is brought to hospital by friends following fall off a roof
resulting in severe back pain. what is initial intervention - ANSWER-immobilize pt
Complete Solutions
32 year old woman with autoimmunde myesthenia gravis has fluctuation but increasing
muscle weakness and has begun to sleep in her chair because she sleeps better sitting
upright. she yawns and sighs frequently which intervention is most appropriate with
these symptoms? - ANSWER-respiratory assessment with pulmonary function tests.
35 year old female involved in a side impact automobile collision suffered pronouced
cervical rotation and complains of severe right sided neck pain and severe unremitting
right side headache and exhibits ecchymosis and swelling of right neck and right
opthalmic ptosis with contraction of the pupil what is most likely reason for symptoms. -
ANSWER-carotid dissection
36 year old female has bee training to run a marathon but develops increasing pain
while running and point tenderness in shine. x ray is negative for fx what further test is
indicated? - ANSWER-bone scan
36 year old male falls on elbow, extremely painful and flexed at 60 degree angle.
spasms are occuring but circulation is good. what do you do? - ANSWER-attempt to
securely splint arm without attempting to change flexion
56 year old female with osteopenia tell the ortho nurse that she plans to start an
exercise program to prevent more bone loss. what exercise would be best? - ANSWER-
bicycling
56 YO arthritic woman is chari bound with total score on the braden of 16 sensory prec
4 moisture 3 activity 2 mobility 3 nutrition 2 and friction and sheer 2 what is accurate
descritption of this patients risk? - ANSWER-breakpoint for risk (moderate)
56 YO female has pain and swelling of the small joints of the hands and wrist. Which
test confirms rheumatoid arthritis? - ANSWER-rheumatoid factor and anti citrullinated
protein antibody ACPA
8 year old child is relearning to walk after serious injury. which response to "i cant do
this" shows reflective listening? - ANSWER-New exercises can be scary because you
don't know whats going to happen
a 12 year old child with seropositive polyarticular juvenile idiopathic/rheumatoid arthritis
has severe morning pain and stiffness and is reluctant to get out of bed. what
, intervention would be most helpful? - ANSWER-set an electric blanket to turn on 10 min
before the child arises
A 14 year old fell during a baseball game suffering first degree ankle sprain, physician
rec standard conservative tx for 24 hours then contrast baths, which correctly describes
contrast baths - ANSWER-soak foot in cold water for 15 min followed by warm for 15
min QID
a 16 year old adolecent playing basketball sprains his ankle (grade II inversion injury)
what tx is most likely? - ANSWER-RICE
a 16 year old girl playing soccer fell, resulting in a lateral patellar dislocation with
hemarthosis. The knee was relocaed and hemarthrosis aspirated how long should the
extension brace be worn? - ANSWER-3-4 weeks
a 30 year old expert in martial arts developed turf toe from excess flexion of great toe.
once injury has healed what precautions should the patient use to prevent reinjury -
ANSWER-wear a brace to support the toe or hard soled shoes
a 42 YO client who experience a traumatic BE amputation has been fitted for a
prosthesis what is the first task to be completed? - ANSWER-education on prosthetic
use, including overuse and nerve entrapment
a 60 year old woman has osteoarthritis of both knees. which of the following most
suggests the need for intervention? - ANSWER-patient is 5'6" and weights 250 pounds
a 70 year old patient with fracture of the proximal femur develops sudden onset of
hypoxia, tachypnea, high fever, buccal and conjuctival petichaiae and tachycardia 24
hours after injury, initial blood gasses indicate respiratory alkalosis, which complication
is most likely the cause. - ANSWER-fat embolism syndrome.
a bed bound patient has a 1.5 inch foam overlay over her mattress, the nurse places
her hand under teh overlay and finds that it has compressed to 0.75 inches, what does
this indicate? - ANSWER-bottoming out
a child is having serial plaster casts for treatment of talipes equinovarus (clubfoot) what
should the parents be advised to do before bringing the child in for a cast change? -
ANSWER-soak the cast off
a child with polyartivular JI/RA is non responsive to other drugs and is going to receive a
TNF blocking agent (Infliximab) remicade what test must be completed prior to admin of
med - ANSWER-TB test
a conscious and responsive pt is brought to hospital by friends following fall off a roof
resulting in severe back pain. what is initial intervention - ANSWER-immobilize pt
