Orthopedic Nursing Test Certification Exam 2025 Updated
Questions and Answers
1. 5 Steps in Bone Healing: 1. Hematoma
2. Fibrocartilaginous Callus Formation
3. Bony Callus Formation
4. Remodeling
2. Hematoma: -inflammatory process
-cell migration to area
3. Fibrocartilaginous Callus Formation: -starts within 48 hours
-granulation replaces hematoma
-osteoblasts build a web of collagen fibers (3 weeks)
4. Bony Callus Formation: -starts in 3-4 weeks
-new bone
-osteoclasts invade: reabsorbs excess callus as it is replaced by mature bone
5. Remodeling: -2-4 months
-plates/bars are laid down
-repaired along lines of stress
6. Factors in Bone Healing: - calcium
- vitamin D
- Alkaline Phosphate
- Decreased circulation
- No osteoporosis
1/
14
, - no infection
7. Diagnostic Radiology: - Xray
- MRI
- Bone Scan
- Myelogram
8. Myelogram: - check for allergies (Shell fish)
- dye used
9. CSF: - clear
- appears on a dressing as a green halo
10. Dislocation: - loss of articulation of the bone ends in the joint caps
11. Subluxation: - partial dislocation where bone ends still partially touch
12. Nursing Care - Joint Trauma: - Risk for Injury
- Acute Pain
- Impaired Physical Mobility
13. Ice / Heat: - 20 minutes on, 20 minutes off
14. Bursitis: - inflammation of bursa
15. Epicondylitis: - Tennis Elbow
- inflammation of tendon at point of origin to bone
2/
14
Questions and Answers
1. 5 Steps in Bone Healing: 1. Hematoma
2. Fibrocartilaginous Callus Formation
3. Bony Callus Formation
4. Remodeling
2. Hematoma: -inflammatory process
-cell migration to area
3. Fibrocartilaginous Callus Formation: -starts within 48 hours
-granulation replaces hematoma
-osteoblasts build a web of collagen fibers (3 weeks)
4. Bony Callus Formation: -starts in 3-4 weeks
-new bone
-osteoclasts invade: reabsorbs excess callus as it is replaced by mature bone
5. Remodeling: -2-4 months
-plates/bars are laid down
-repaired along lines of stress
6. Factors in Bone Healing: - calcium
- vitamin D
- Alkaline Phosphate
- Decreased circulation
- No osteoporosis
1/
14
, - no infection
7. Diagnostic Radiology: - Xray
- MRI
- Bone Scan
- Myelogram
8. Myelogram: - check for allergies (Shell fish)
- dye used
9. CSF: - clear
- appears on a dressing as a green halo
10. Dislocation: - loss of articulation of the bone ends in the joint caps
11. Subluxation: - partial dislocation where bone ends still partially touch
12. Nursing Care - Joint Trauma: - Risk for Injury
- Acute Pain
- Impaired Physical Mobility
13. Ice / Heat: - 20 minutes on, 20 minutes off
14. Bursitis: - inflammation of bursa
15. Epicondylitis: - Tennis Elbow
- inflammation of tendon at point of origin to bone
2/
14
