ORTHO NCLEX QUESTIONS AND ANSWERS LATEST
VERSION VERIFIED RATIONALE GRADED A+
A pa�ent complains of �ngling and numbness in his right leg following applica�on of a long leg cast. The
pa�ent's discomfort is most likely the result of:
A. Reduced venous return
B. Bone healing
C. Arterial insufficiency
D. Nerve compression - ansRa�onale: Answer D is correct. Numbness and �ngling in a n extremity
immobilized by a cast are most likely the result of nerve compression. Answer A is incorrect because
reduced venous return results in swelling in the extremity. Answer B is incorrect because numbness and
�ngling are not associated with bone healing. Answer C is incorrect because arterial insufficiency results
in diminished or absent pulses in the extremity.
A pa�ent has been diagnosised with osteomalacia. What symptoms does the nurse recognize that
correlate with the diagnosis?
A. Bone fractures and kyphosis
B. Bone pain and tenderness
C. Muscle Weakness and spasms
D. So�ened and compressed vertebrae - ansRa�onale: Answer B is correct.
A pa�ent is admited for an MRI, a CT scan, and a myelogram. Which of the following medica�on orders
should be ques�oned for the pa�ent who is to have a myelogram?
A. Ampicillin 250mg PO q6H
B. Motrin 400mg PO q4h PRN for headache
C. Seconal 50mg HS PRN sleep
D. Darvon 65mg PO q4h for pain - ansRa�onale: Answer C is correct. Seconal is a barbiturate, and CNS
depressants and s�mulants, as well as phenothiazines, should not be given for 48 hours prior to a
mylegram because they decrease the sizure threshold. Ampicillin is an an�bio�c, Motrin is an NSAID, and
Darvon is an analgesic, so they can all be given, making answers A,B, and D wrong.
A pa�ent with a total knee replacement returns from surgery. Which findings require immediate nursing
interven�on?
A. The is 30ml bloody drainage from the surgical drain
, ORTHO NCLEX QUESTIONS AND ANSWERS LATEST
VERSION VERIFIED RATIONALE GRADED A+
B. The con�nuous passive mo�on machine is set on 90-degree flexion
C. The pa�ent is unable to ambulate to the bathroom
D. The pa�ent is complaining of muscle spasm - ansAnswer B is correct. The CPM machine should not be
set at 90-degree flexion un�l the fi�h postopera�ve day. Answers A, C, and D are expected findings and
do not require immediate nursing interven�on, so they are incorrect
A pa�ent with an open reduc�on and internal fixa�on for a fractured hip is to being ambula�on. The hip
was repaired using a compression plate and screws. The pa�ent will most likely begin ambula�on with:
A. Full weight bearing on the affected leg
B. Nonweight bearing on the affected leg
C. Toe touch weight bearing on the affected leg
D. Weight bearing as tolerated on the affected leg - ansAnswer C is correct. The pa�ent with ORIF of a
fractured hip will begin ambula�on with toe touch weight bearing on the affected leg. Answer A is
incorrect because it places to much weight on the newly repaired hip. Answer B is incorrect because the
pa�ent allowed to bear minimal weight on the affected leg. Answer D is incorrect because it can place
too much or too litle pressure on the newly repaired hip.
A pa�ent with osteoporosis has been advised to increase the amount of calcium in her diet. Which food
provides the most calcium?
An 8- oz glass of milk
An ounce of cheddar cheese
A half cup of raw broccoli
A 4- ounce salmon croquete - ansAnswer A is correct. An 8-ounce glass of milk contains 290mg of
calcium. Answers B, C, and D contain lesser amounts; therefore, they are incorrect. (Note: An ounce of
cheddar cheese contains 205 mg of calcium; half a cup of raw broccoli contains 175mg of calcium; and 4
ounces of salmon croquete contains 165 mg of calcium).
A re�red 66- year- old female pa�ent is being evaluated for osteoporosis as part of a yearly physical
exam. The pa�ent states that she is a smoker, watches television for most of the day, and has been
hospitalized twice with fractures within the last year. Based on this informa�on, the nurse suspects
which condi�on?
VERSION VERIFIED RATIONALE GRADED A+
A pa�ent complains of �ngling and numbness in his right leg following applica�on of a long leg cast. The
pa�ent's discomfort is most likely the result of:
A. Reduced venous return
B. Bone healing
C. Arterial insufficiency
D. Nerve compression - ansRa�onale: Answer D is correct. Numbness and �ngling in a n extremity
immobilized by a cast are most likely the result of nerve compression. Answer A is incorrect because
reduced venous return results in swelling in the extremity. Answer B is incorrect because numbness and
�ngling are not associated with bone healing. Answer C is incorrect because arterial insufficiency results
in diminished or absent pulses in the extremity.
A pa�ent has been diagnosised with osteomalacia. What symptoms does the nurse recognize that
correlate with the diagnosis?
A. Bone fractures and kyphosis
B. Bone pain and tenderness
C. Muscle Weakness and spasms
D. So�ened and compressed vertebrae - ansRa�onale: Answer B is correct.
A pa�ent is admited for an MRI, a CT scan, and a myelogram. Which of the following medica�on orders
should be ques�oned for the pa�ent who is to have a myelogram?
A. Ampicillin 250mg PO q6H
B. Motrin 400mg PO q4h PRN for headache
C. Seconal 50mg HS PRN sleep
D. Darvon 65mg PO q4h for pain - ansRa�onale: Answer C is correct. Seconal is a barbiturate, and CNS
depressants and s�mulants, as well as phenothiazines, should not be given for 48 hours prior to a
mylegram because they decrease the sizure threshold. Ampicillin is an an�bio�c, Motrin is an NSAID, and
Darvon is an analgesic, so they can all be given, making answers A,B, and D wrong.
A pa�ent with a total knee replacement returns from surgery. Which findings require immediate nursing
interven�on?
A. The is 30ml bloody drainage from the surgical drain
, ORTHO NCLEX QUESTIONS AND ANSWERS LATEST
VERSION VERIFIED RATIONALE GRADED A+
B. The con�nuous passive mo�on machine is set on 90-degree flexion
C. The pa�ent is unable to ambulate to the bathroom
D. The pa�ent is complaining of muscle spasm - ansAnswer B is correct. The CPM machine should not be
set at 90-degree flexion un�l the fi�h postopera�ve day. Answers A, C, and D are expected findings and
do not require immediate nursing interven�on, so they are incorrect
A pa�ent with an open reduc�on and internal fixa�on for a fractured hip is to being ambula�on. The hip
was repaired using a compression plate and screws. The pa�ent will most likely begin ambula�on with:
A. Full weight bearing on the affected leg
B. Nonweight bearing on the affected leg
C. Toe touch weight bearing on the affected leg
D. Weight bearing as tolerated on the affected leg - ansAnswer C is correct. The pa�ent with ORIF of a
fractured hip will begin ambula�on with toe touch weight bearing on the affected leg. Answer A is
incorrect because it places to much weight on the newly repaired hip. Answer B is incorrect because the
pa�ent allowed to bear minimal weight on the affected leg. Answer D is incorrect because it can place
too much or too litle pressure on the newly repaired hip.
A pa�ent with osteoporosis has been advised to increase the amount of calcium in her diet. Which food
provides the most calcium?
An 8- oz glass of milk
An ounce of cheddar cheese
A half cup of raw broccoli
A 4- ounce salmon croquete - ansAnswer A is correct. An 8-ounce glass of milk contains 290mg of
calcium. Answers B, C, and D contain lesser amounts; therefore, they are incorrect. (Note: An ounce of
cheddar cheese contains 205 mg of calcium; half a cup of raw broccoli contains 175mg of calcium; and 4
ounces of salmon croquete contains 165 mg of calcium).
A re�red 66- year- old female pa�ent is being evaluated for osteoporosis as part of a yearly physical
exam. The pa�ent states that she is a smoker, watches television for most of the day, and has been
hospitalized twice with fractures within the last year. Based on this informa�on, the nurse suspects
which condi�on?
