Orthopedic Nursing Exam Study Questions and
Answers| Latest Version 2024-25
What is a fasciotomy and why would a doctor need to perform one? - ✔✔A procedure used
to relieve pressure and restore circulation by cutting into the tissue
Your client is about to get their cast off by use of a cast saw. What should you warn them
about? - ✔✔The cat saw does not touch the skin. It only vibrates
What is delayed union? - ✔✔Healing does not occur at a normal rate
What is non union - ✔✔Bones fail to unite; bone graft may be needed
What is malunion? - ✔✔Deformity at the fracture site
Why would ice packs go on the side for the first 24 hrs? - ✔✔Because the cast is still wet
Why do you watch out for indentions in a cloent's cast - ✔✔Indentations cause pressure
sores
Why do you use your palms I handle a cast in the first 24 hrs? - ✔✔The cast is still wet and
pressure form fingers can cause indentions
Why do you keep a cast uncovered - ✔✔So heat won't trap next to the skin
What should you do for breakthrough bleeding on a cast - ✔✔Circle the area and write the
date and time
, What does your Clint rest their cast on? - ✔✔Soft pillow
What do you do for a cast next to the groin area? - ✔✔Cover the area close to the cast with
plastic to keep it clean
What do you do if your client with a cast c/o pain? - ✔✔Neurovascular check and pain meds.
If still unrelieved in 30 mins think compartment syndrome
You client skin is itching on the inside I their cast and the client wants to scratch it with
something. What do you tell them - ✔✔You should never stick anything in your cast but you
may blow dry the area to change the sensation
What does traction do? - ✔✔Decreases muscle spams, reduces( realigns the bone) and
immobilizes
Should traction be intermittent or continuous? - ✔✔Continuous or it's not doing any good
How should ropes hang in traction? - ✔✔Ropes should hang freely l. Knots should be secure
What is the purpose of skin traction? - ✔✔They are used short term to relieve muscle
spasms and immobilize the limb until surgery
How does skin traction work? - ✔✔Tape is applied to the skin and weights pull against it
Is the skin penetrated with skin traction? - ✔✔No
What is the most common type of skin traction? - ✔✔Buck's traction
Answers| Latest Version 2024-25
What is a fasciotomy and why would a doctor need to perform one? - ✔✔A procedure used
to relieve pressure and restore circulation by cutting into the tissue
Your client is about to get their cast off by use of a cast saw. What should you warn them
about? - ✔✔The cat saw does not touch the skin. It only vibrates
What is delayed union? - ✔✔Healing does not occur at a normal rate
What is non union - ✔✔Bones fail to unite; bone graft may be needed
What is malunion? - ✔✔Deformity at the fracture site
Why would ice packs go on the side for the first 24 hrs? - ✔✔Because the cast is still wet
Why do you watch out for indentions in a cloent's cast - ✔✔Indentations cause pressure
sores
Why do you use your palms I handle a cast in the first 24 hrs? - ✔✔The cast is still wet and
pressure form fingers can cause indentions
Why do you keep a cast uncovered - ✔✔So heat won't trap next to the skin
What should you do for breakthrough bleeding on a cast - ✔✔Circle the area and write the
date and time
, What does your Clint rest their cast on? - ✔✔Soft pillow
What do you do for a cast next to the groin area? - ✔✔Cover the area close to the cast with
plastic to keep it clean
What do you do if your client with a cast c/o pain? - ✔✔Neurovascular check and pain meds.
If still unrelieved in 30 mins think compartment syndrome
You client skin is itching on the inside I their cast and the client wants to scratch it with
something. What do you tell them - ✔✔You should never stick anything in your cast but you
may blow dry the area to change the sensation
What does traction do? - ✔✔Decreases muscle spams, reduces( realigns the bone) and
immobilizes
Should traction be intermittent or continuous? - ✔✔Continuous or it's not doing any good
How should ropes hang in traction? - ✔✔Ropes should hang freely l. Knots should be secure
What is the purpose of skin traction? - ✔✔They are used short term to relieve muscle
spasms and immobilize the limb until surgery
How does skin traction work? - ✔✔Tape is applied to the skin and weights pull against it
Is the skin penetrated with skin traction? - ✔✔No
What is the most common type of skin traction? - ✔✔Buck's traction
