ONC Orthopaedic Trauma/Sports
Injuries Practice Exam-Graded A
A 48-year-old athlete sustains a ruptured Achilles tendon during triathlon training. In
discussing the personal and medical history with the patient, the nurse should recognize
which of the following as a risk factor for this injury? - ANSWER-Ongoing treatment for
gout
A patient with a ruptured Achilles tendon has undergone surgical repair and will require
6 weeks of cast immobilization. As part of the patient's discharge plan, it is MOST
important for the nurse to assess the patient's ability to - ANSWER-. ambulate with an
assistive device.
healthy 47-year-old injured the right knee while skiing. A moderate partial tear of the
anterior cruciate ligament (ACL) is confirmed with MRI. The patient has opted for non-
surgical treatment. Which of the following should the nurse recognize as an appropriate
intervention to manage the injury - ANSWER-Knee aspiration and prescription for
diclofenac (Voltaren)
A softball pitcher underwent surgical repair of the right anterior cruciate ligament 3 days
ago and is now being seen in the surgeon's office. Which of the following findings
should the nurse identify as suspicious of infection? - ANSWER-Increased pain, new
drainage, and low grade fever
An ice skater sustains a first-degree ankle sprain. Which of the following treatments
should the nurse expect to be included in the patient's plan of care? - ANSWER-Elastic
bandage and crutches
12-year-old boy playing Pee Wee football is tackled and sustains a fracture to the left
clavicle. The nurse should teach the patient and his parents about use of which of the
following interventions as part of non-surgical treatment for this injury? - ANSWER-
Padded sling
Little League baseball pitcher has been diagnosed with a partial tear of the ulnar
collateral ligament (UCL) of the pitching arm. The nurse should reinforce instruction on
which of the following as part of a conservative course of treatment for this patient? -
ANSWER-Rest between games and a limited number of pitches per game
A marathon runner develops foot pain and is diagnosed with plantar fasciitis. Which of
the following statements by the patient should the nurse recognize as correct
, concerning this condition? - ANSWER-"Plantar fasciitis is chronic, and complete
resolution takes several months to a year."
rugby player is unable to rise and walk after experiencing an aggressive tackle. In the
emergency department, the patient is diagnosed with a dislocated right hip. The nurse's
assessment should be based on knowledge that which of the following structures can
be affected by this injury? - ANSWER-Sciatic nerve and femoral head
A patient is taken to the emergency department after experiencing a knee injury during
a weekend game of flag football. Magnetic resonance imaging (MRI) with MR
gadolinium contrast is ordered. Which of the following should the nurse ensure is
completed before the patient goes for the study? - ANSWER-Take a detailed health and
renal history.
A high school basketball player complains of severe left knee pain after falling during a
game. A tear of the meniscus is suspected. The nurse should know which of the
following maneuvers would be performed to assess for a meniscal tear? - ANSWER-
McMurray's sign
A runner complains of pain over the calcaneus and is diagnosed with plantar fasciitis.
Consistent with this diagnosis, the nurse identifies which of the following? -
ANSWER-"Start-up" pain after rest
A professional football player undergoes reconstruction of the left anterior cruciate
ligament. He identifies his current pain as 4 on 0-10 intensity scale and has full
movement and sensation after epidural anesthesia. Six hours after surgery, the patient
is unable to void. Which of the following should the nurse identify as a risk factor for
postoperative urinary retention for this patient? - ANSWER-. Epidural anesthesia and
800 cc intravenous fluids
A minor league baseball pitcher undergoes surgical rotator cuff repair. As the nurse
prepares the patient for discharge, which statement by the patient should the nurse
recognize as indicating he understands the postoperative treatment plan? -
ANSWER-"I'll wear a sling and limit activities for a few months
A tennis player is diagnosed with lateral epicondylitis of the right arm. A tennis elbow
band is recommended, and the patient asks the nurse about the benefits of this
treatment. The nurse's response should be based on knowledge that the tennis elbow
band - ANSWER-Reduces inflammation and pain of extensor tendons.
A gymnast diagnosed with chondromalacia patella is advised to avoid activities that
worsen the pain. The nurse also should reinforce the need for the patient to perform
which of the following types of exercise? - ANSWER-. Quadriceps strengthening
During a recent competition, a weight lifter says he felt a sudden burning pain in his
lower back that has since resolved to tenderness. When seen in the emergency
Injuries Practice Exam-Graded A
A 48-year-old athlete sustains a ruptured Achilles tendon during triathlon training. In
discussing the personal and medical history with the patient, the nurse should recognize
which of the following as a risk factor for this injury? - ANSWER-Ongoing treatment for
gout
A patient with a ruptured Achilles tendon has undergone surgical repair and will require
6 weeks of cast immobilization. As part of the patient's discharge plan, it is MOST
important for the nurse to assess the patient's ability to - ANSWER-. ambulate with an
assistive device.
healthy 47-year-old injured the right knee while skiing. A moderate partial tear of the
anterior cruciate ligament (ACL) is confirmed with MRI. The patient has opted for non-
surgical treatment. Which of the following should the nurse recognize as an appropriate
intervention to manage the injury - ANSWER-Knee aspiration and prescription for
diclofenac (Voltaren)
A softball pitcher underwent surgical repair of the right anterior cruciate ligament 3 days
ago and is now being seen in the surgeon's office. Which of the following findings
should the nurse identify as suspicious of infection? - ANSWER-Increased pain, new
drainage, and low grade fever
An ice skater sustains a first-degree ankle sprain. Which of the following treatments
should the nurse expect to be included in the patient's plan of care? - ANSWER-Elastic
bandage and crutches
12-year-old boy playing Pee Wee football is tackled and sustains a fracture to the left
clavicle. The nurse should teach the patient and his parents about use of which of the
following interventions as part of non-surgical treatment for this injury? - ANSWER-
Padded sling
Little League baseball pitcher has been diagnosed with a partial tear of the ulnar
collateral ligament (UCL) of the pitching arm. The nurse should reinforce instruction on
which of the following as part of a conservative course of treatment for this patient? -
ANSWER-Rest between games and a limited number of pitches per game
A marathon runner develops foot pain and is diagnosed with plantar fasciitis. Which of
the following statements by the patient should the nurse recognize as correct
, concerning this condition? - ANSWER-"Plantar fasciitis is chronic, and complete
resolution takes several months to a year."
rugby player is unable to rise and walk after experiencing an aggressive tackle. In the
emergency department, the patient is diagnosed with a dislocated right hip. The nurse's
assessment should be based on knowledge that which of the following structures can
be affected by this injury? - ANSWER-Sciatic nerve and femoral head
A patient is taken to the emergency department after experiencing a knee injury during
a weekend game of flag football. Magnetic resonance imaging (MRI) with MR
gadolinium contrast is ordered. Which of the following should the nurse ensure is
completed before the patient goes for the study? - ANSWER-Take a detailed health and
renal history.
A high school basketball player complains of severe left knee pain after falling during a
game. A tear of the meniscus is suspected. The nurse should know which of the
following maneuvers would be performed to assess for a meniscal tear? - ANSWER-
McMurray's sign
A runner complains of pain over the calcaneus and is diagnosed with plantar fasciitis.
Consistent with this diagnosis, the nurse identifies which of the following? -
ANSWER-"Start-up" pain after rest
A professional football player undergoes reconstruction of the left anterior cruciate
ligament. He identifies his current pain as 4 on 0-10 intensity scale and has full
movement and sensation after epidural anesthesia. Six hours after surgery, the patient
is unable to void. Which of the following should the nurse identify as a risk factor for
postoperative urinary retention for this patient? - ANSWER-. Epidural anesthesia and
800 cc intravenous fluids
A minor league baseball pitcher undergoes surgical rotator cuff repair. As the nurse
prepares the patient for discharge, which statement by the patient should the nurse
recognize as indicating he understands the postoperative treatment plan? -
ANSWER-"I'll wear a sling and limit activities for a few months
A tennis player is diagnosed with lateral epicondylitis of the right arm. A tennis elbow
band is recommended, and the patient asks the nurse about the benefits of this
treatment. The nurse's response should be based on knowledge that the tennis elbow
band - ANSWER-Reduces inflammation and pain of extensor tendons.
A gymnast diagnosed with chondromalacia patella is advised to avoid activities that
worsen the pain. The nurse also should reinforce the need for the patient to perform
which of the following types of exercise? - ANSWER-. Quadriceps strengthening
During a recent competition, a weight lifter says he felt a sudden burning pain in his
lower back that has since resolved to tenderness. When seen in the emergency
