Orthopedic Nurse Certification Exam 2024-2025 COMPREHENSIVE 80
QUETIONS AND VERIFIED ANSWERS|100% ACCURATE SOLUTIONS WITH
RATIONALES| ALREADY GRADED A+
1. Name 2 biological, 3 ex-
trinsic, and 1 4.
behavioral factor that
can predis- pose a
patient to a frac- ture.
2. Describe nursing in-
structions that may
be given to a patient
in a cast.
3. What is the basic
anato- my of a long
bone?
To get this or any other Exam contact ()
,Orthopedic Nurse Certification Exam 2024-2025 COMPREHENSIVE 80
QUETIONS AND VERIFIED ANSWERS|100% ACCURATE SOLUTIONS WITH
RATIONALES| ALREADY GRADED A+
Biological: 5) Follow up if cast gets loose or cracks.
1) Age: bone structure
becomes less Typically has two main components:
dense/more susceptible 1) Diaphysis - makes up long shaft of bone.
to injury Outer portion is made of compact bone.
2)Type of bone involved: Inner layer is made of marrow.
some are better 2)Epiphyses - set at either end of long
equipped to handle bone. Outer layer is compact bone and
difference stresses and inner core is spongy bone.
forces without injury
Periosteum - membrane that lines both
Extrinsic: externally.
1) Amount of force applied - contains supply of nerve fibers, lymph, bloo
2) Angle of force applied vessels
3) Duration of force
Behavioral:
1) Participating in
adrenalin-seeking
activities such as
skydiving, rock-
climbing, motor cross
1) Cast should be kept dry.
2) Monitor the skin areas at
the end of the cast.
3) Never stick anything
into or under the cast
to scratch or itch.
4) Alert medical care in
case of tightness or in-
creasing pain,
numbness, color
change, or tem-
perature change in
areas of distal ends of
cast.
To get this or any other Exam contact ()
,Orthopedic Nurse Certification Exam 2024-2025 COMPREHENSIVE 80
QUETIONS AND VERIFIED ANSWERS|100% ACCURATE SOLUTIONS WITH
RATIONALES| ALREADY GRADED A+
Give examples of tap- 1) Tapping - sustained from a small force to
ping fracture and pene- a concentrated area. Bone will absorb this
trating fracture. force - may or may not be mild soft tissue
display of injury. EX: fracture of forearm
when blocking a hit with a fist or bat; being
kicked in lower leg
2) Penetrating - caused by large amount of
force on small area. Object of force is
usually small and soft tissue involvement
is minimal.
EX: stab wound, gunshot wound
Different from crush wound because object
5. List several factor that of force is much larger.
determine fracture-heal-
ing outcome. 1) Skeletal maturity decreases healing.
- Immature skeleton increases rate and
success of healing.
2) Single bone fracture has better
prognosis than multi-bone fracture.
3) Big displacement that affect
surrounding tis- sues requires more
healing time.
4)Thoracic spine injury heals better than
unstable lumbar/cervical spine injuries.
5)Fracture of joint surfaces are more
unstable/dif- ficult to treat.
6. Differentiate 6) Fracture with nearby unaffected
between linear, support bone has good prognosis - acts as
oblique, and natural splint.
transverse fractures.
LINEAR: the fracture forms a straight line
through the bone; doesn't tell if fracture
line is angled or horizontal; a linear can be
oblique or transverse
To get this or any other Exam contact ()
,Orthopedic Nurse Certification Exam 2024-2025 COMPREHENSIVE 80
QUETIONS AND VERIFIED ANSWERS|100% ACCURATE SOLUTIONS WITH
RATIONALES| ALREADY GRADED A+
OBLIQUE: fracture line that
travels at an angle through
the bone
TRANSVERSE: break that
travels in a horizontal
line through the bone.
To get this or any other Exam contact ()
QUETIONS AND VERIFIED ANSWERS|100% ACCURATE SOLUTIONS WITH
RATIONALES| ALREADY GRADED A+
1. Name 2 biological, 3 ex-
trinsic, and 1 4.
behavioral factor that
can predis- pose a
patient to a frac- ture.
2. Describe nursing in-
structions that may
be given to a patient
in a cast.
3. What is the basic
anato- my of a long
bone?
To get this or any other Exam contact ()
,Orthopedic Nurse Certification Exam 2024-2025 COMPREHENSIVE 80
QUETIONS AND VERIFIED ANSWERS|100% ACCURATE SOLUTIONS WITH
RATIONALES| ALREADY GRADED A+
Biological: 5) Follow up if cast gets loose or cracks.
1) Age: bone structure
becomes less Typically has two main components:
dense/more susceptible 1) Diaphysis - makes up long shaft of bone.
to injury Outer portion is made of compact bone.
2)Type of bone involved: Inner layer is made of marrow.
some are better 2)Epiphyses - set at either end of long
equipped to handle bone. Outer layer is compact bone and
difference stresses and inner core is spongy bone.
forces without injury
Periosteum - membrane that lines both
Extrinsic: externally.
1) Amount of force applied - contains supply of nerve fibers, lymph, bloo
2) Angle of force applied vessels
3) Duration of force
Behavioral:
1) Participating in
adrenalin-seeking
activities such as
skydiving, rock-
climbing, motor cross
1) Cast should be kept dry.
2) Monitor the skin areas at
the end of the cast.
3) Never stick anything
into or under the cast
to scratch or itch.
4) Alert medical care in
case of tightness or in-
creasing pain,
numbness, color
change, or tem-
perature change in
areas of distal ends of
cast.
To get this or any other Exam contact ()
,Orthopedic Nurse Certification Exam 2024-2025 COMPREHENSIVE 80
QUETIONS AND VERIFIED ANSWERS|100% ACCURATE SOLUTIONS WITH
RATIONALES| ALREADY GRADED A+
Give examples of tap- 1) Tapping - sustained from a small force to
ping fracture and pene- a concentrated area. Bone will absorb this
trating fracture. force - may or may not be mild soft tissue
display of injury. EX: fracture of forearm
when blocking a hit with a fist or bat; being
kicked in lower leg
2) Penetrating - caused by large amount of
force on small area. Object of force is
usually small and soft tissue involvement
is minimal.
EX: stab wound, gunshot wound
Different from crush wound because object
5. List several factor that of force is much larger.
determine fracture-heal-
ing outcome. 1) Skeletal maturity decreases healing.
- Immature skeleton increases rate and
success of healing.
2) Single bone fracture has better
prognosis than multi-bone fracture.
3) Big displacement that affect
surrounding tis- sues requires more
healing time.
4)Thoracic spine injury heals better than
unstable lumbar/cervical spine injuries.
5)Fracture of joint surfaces are more
unstable/dif- ficult to treat.
6. Differentiate 6) Fracture with nearby unaffected
between linear, support bone has good prognosis - acts as
oblique, and natural splint.
transverse fractures.
LINEAR: the fracture forms a straight line
through the bone; doesn't tell if fracture
line is angled or horizontal; a linear can be
oblique or transverse
To get this or any other Exam contact ()
,Orthopedic Nurse Certification Exam 2024-2025 COMPREHENSIVE 80
QUETIONS AND VERIFIED ANSWERS|100% ACCURATE SOLUTIONS WITH
RATIONALES| ALREADY GRADED A+
OBLIQUE: fracture line that
travels at an angle through
the bone
TRANSVERSE: break that
travels in a horizontal
line through the bone.
To get this or any other Exam contact ()
