Orthopedic Nursing Exam
Orthopedic nursing exam | Certified Exam Questions with
Complete Solutions
rheumatoid arthritis - Correct Answer- Multisystem inflammation
extra articular manifestations
40-60 y/o and females (75%) - Correct Answer- typical diagnosis age and gender for RA
typical descriptors of the joint in RA - Correct Answer- laxity, sublaxation, contractures, nodules
ankylosing
Pannus - Correct Answer- an abnormal layer of fibrovascular or granulation tissue over joint
tissue, destroys cartilage
Morning stiffness. Painful, stiff, & swollen joints. Limited range of motion of joints. History of
late afternoon temperature, with temperature spiking up to 105° F. Systemic symptoms include
malaise, fatigue, lethargy, anorexia, weight loss, & growth problems. - Correct Answer- typical
symptoms of RA
NSAIDS
DMARDS
Biologic response modifiers (BRMs)
Steroids - Correct Answer- Rheumatoid arthritis drug treatment options
disease-modifying antirheumatic drugs (DMARDs) - Correct Answer- hydroxychloroquine
1
,Orthopedic Nursing Exam
Levaquin
methotrexate
minocycline
sulfasalazine
Osteoarthritis - Correct Answer- slow progressive loss of articular cartilage
"not inflammatory"
idiopathic osteoarthritis- old age
secondary osteoarthritis - from previous damage - Correct Answer- 2 causes of OA
Cauda Equina Syndrome - Correct Answer- central disc prolapse compressing nerves cutting off
sensation and movement
Symptoms of cauda equina syndrome - Correct Answer- Bladder and bowel incontinence,
perineal numbness, bilateral sciatica, lower limb weakness, crossed straight-leg raisin sign
degenerative spondylolisthesis - Correct Answer- caused by weakening of joints that allows for
forward slippage of one vertebral segment on one below due to degenerative changes, most
common site is L4/L5, william's flexion exercises may be indicated to strengthen abs and reduce
lumbar lordosis
herniated disc (slipped disc) - Correct Answer-
bulging disc - Correct Answer- c
saddle anesthesia - Correct Answer- loss of sensation restricted to the buttocks, perineum, and
inner thighs
2
, Orthopedic Nursing Exam
increased risk of falls, risk of depression, activity intolerance , acute/ chronic pain - Correct
Answer- nursing diagnosis examples of degenerative disc disease
no - Correct Answer- is osteoarthritis reversible?
PTH increased, vitamin d decreased - Correct Answer- is PTH and Vit D increased or decreased
usually with OA
OA usually unilateral - Correct Answer- difference between RA and OA pain
Bouchard's nodes - Correct Answer- Osteophytes at the proximal interphalangeal joints(PIP) of
hands
Heberden's nodes - Correct Answer- Swelling of distal interphalangeal finger joints,
characteristic of osteoarthritis
weight bearing xrays - Correct Answer- gold standard diagnosis of osteoarthritis
Weight loss, PT, aerobic exercise, TENS unit therapeutic ultrasound, braces, heat ice - Correct
Answer- nonpharmalogical treatment options of OA
- NSAIDs
- glucosamine
- viscosupplementation (gel injection)
-PRP (platelet rich plasma) - Correct Answer- pharmalogical treatment options of OA
athroscopy - Correct Answer- Less invasive surgery involving the use of a scope, or camera, to
see what is problem inside joints
3
Orthopedic nursing exam | Certified Exam Questions with
Complete Solutions
rheumatoid arthritis - Correct Answer- Multisystem inflammation
extra articular manifestations
40-60 y/o and females (75%) - Correct Answer- typical diagnosis age and gender for RA
typical descriptors of the joint in RA - Correct Answer- laxity, sublaxation, contractures, nodules
ankylosing
Pannus - Correct Answer- an abnormal layer of fibrovascular or granulation tissue over joint
tissue, destroys cartilage
Morning stiffness. Painful, stiff, & swollen joints. Limited range of motion of joints. History of
late afternoon temperature, with temperature spiking up to 105° F. Systemic symptoms include
malaise, fatigue, lethargy, anorexia, weight loss, & growth problems. - Correct Answer- typical
symptoms of RA
NSAIDS
DMARDS
Biologic response modifiers (BRMs)
Steroids - Correct Answer- Rheumatoid arthritis drug treatment options
disease-modifying antirheumatic drugs (DMARDs) - Correct Answer- hydroxychloroquine
1
,Orthopedic Nursing Exam
Levaquin
methotrexate
minocycline
sulfasalazine
Osteoarthritis - Correct Answer- slow progressive loss of articular cartilage
"not inflammatory"
idiopathic osteoarthritis- old age
secondary osteoarthritis - from previous damage - Correct Answer- 2 causes of OA
Cauda Equina Syndrome - Correct Answer- central disc prolapse compressing nerves cutting off
sensation and movement
Symptoms of cauda equina syndrome - Correct Answer- Bladder and bowel incontinence,
perineal numbness, bilateral sciatica, lower limb weakness, crossed straight-leg raisin sign
degenerative spondylolisthesis - Correct Answer- caused by weakening of joints that allows for
forward slippage of one vertebral segment on one below due to degenerative changes, most
common site is L4/L5, william's flexion exercises may be indicated to strengthen abs and reduce
lumbar lordosis
herniated disc (slipped disc) - Correct Answer-
bulging disc - Correct Answer- c
saddle anesthesia - Correct Answer- loss of sensation restricted to the buttocks, perineum, and
inner thighs
2
, Orthopedic Nursing Exam
increased risk of falls, risk of depression, activity intolerance , acute/ chronic pain - Correct
Answer- nursing diagnosis examples of degenerative disc disease
no - Correct Answer- is osteoarthritis reversible?
PTH increased, vitamin d decreased - Correct Answer- is PTH and Vit D increased or decreased
usually with OA
OA usually unilateral - Correct Answer- difference between RA and OA pain
Bouchard's nodes - Correct Answer- Osteophytes at the proximal interphalangeal joints(PIP) of
hands
Heberden's nodes - Correct Answer- Swelling of distal interphalangeal finger joints,
characteristic of osteoarthritis
weight bearing xrays - Correct Answer- gold standard diagnosis of osteoarthritis
Weight loss, PT, aerobic exercise, TENS unit therapeutic ultrasound, braces, heat ice - Correct
Answer- nonpharmalogical treatment options of OA
- NSAIDs
- glucosamine
- viscosupplementation (gel injection)
-PRP (platelet rich plasma) - Correct Answer- pharmalogical treatment options of OA
athroscopy - Correct Answer- Less invasive surgery involving the use of a scope, or camera, to
see what is problem inside joints
3
