1. What is the primary purpose of performing a neurovascular
assessment on a patient with a cast?
A. Assessing for proper joint alignment
B. Identifying signs of infection
C. Monitoring circulation and nerve function
D. Preventing pressure ulcers
Answer and Rationale:
C. Monitoring circulation and nerve function
Rationale: Neurovascular checks ensure adequate blood flow and
nerve function in the affected limb.
2. Which clinical manifestation suggests developmental dysplasia
of the hip (DDH) in an infant?
A. Positive Ortolani or Barlow test
B. Asymmetric Moro reflex
C. Bowlegs when walking
D. Delayed walking milestones
Answer and Rationale:
A. Positive Ortolani or Barlow test
,Rationale: These tests assess hip stability and are key indicators of
DDH in infants.
3. What is the primary nursing intervention for a patient with a
clavicle fracture?
A. Immobilize the arm with a sling
B. Apply ice packs continuously
C. Encourage range-of-motion exercises
D. Perform neurovascular checks every hour
Answer and Rationale:
A. Immobilize the arm with a sling
Rationale: Immobilization promotes healing and reduces pain in
clavicle fractures.
4. What is the most common complication of prolonged
immobility in an orthopedic patient?
A. Contractures
B. Pressure ulcers
C. Deep vein thrombosis
D. Muscle atrophy
Answer and Rationale:
C. Deep vein thrombosis
, Rationale: Prolonged immobility increases the risk of venous
stasis, which can lead to the formation of blood clots and DVT.
5. Which nutrient is essential to promote bone healing after a
fracture?
A. Vitamin C
B. Vitamin B12
C. Vitamin D
D. Omega-3 fatty acids
Answer and Rationale:
C. Vitamin D
Rationale: Vitamin D is critical for calcium absorption and bone
repair. Adequate levels facilitate the healing process post-fracture.
6. Which complication should the nurse prioritize monitoring in a
post-op patient with a total knee arthroplasty?
A. Pulmonary embolism
B. Hemorrhage
C. Pressure ulcer development
D. Joint stiffness
Answer and Rationale:
A. Pulmonary embolism
assessment on a patient with a cast?
A. Assessing for proper joint alignment
B. Identifying signs of infection
C. Monitoring circulation and nerve function
D. Preventing pressure ulcers
Answer and Rationale:
C. Monitoring circulation and nerve function
Rationale: Neurovascular checks ensure adequate blood flow and
nerve function in the affected limb.
2. Which clinical manifestation suggests developmental dysplasia
of the hip (DDH) in an infant?
A. Positive Ortolani or Barlow test
B. Asymmetric Moro reflex
C. Bowlegs when walking
D. Delayed walking milestones
Answer and Rationale:
A. Positive Ortolani or Barlow test
,Rationale: These tests assess hip stability and are key indicators of
DDH in infants.
3. What is the primary nursing intervention for a patient with a
clavicle fracture?
A. Immobilize the arm with a sling
B. Apply ice packs continuously
C. Encourage range-of-motion exercises
D. Perform neurovascular checks every hour
Answer and Rationale:
A. Immobilize the arm with a sling
Rationale: Immobilization promotes healing and reduces pain in
clavicle fractures.
4. What is the most common complication of prolonged
immobility in an orthopedic patient?
A. Contractures
B. Pressure ulcers
C. Deep vein thrombosis
D. Muscle atrophy
Answer and Rationale:
C. Deep vein thrombosis
, Rationale: Prolonged immobility increases the risk of venous
stasis, which can lead to the formation of blood clots and DVT.
5. Which nutrient is essential to promote bone healing after a
fracture?
A. Vitamin C
B. Vitamin B12
C. Vitamin D
D. Omega-3 fatty acids
Answer and Rationale:
C. Vitamin D
Rationale: Vitamin D is critical for calcium absorption and bone
repair. Adequate levels facilitate the healing process post-fracture.
6. Which complication should the nurse prioritize monitoring in a
post-op patient with a total knee arthroplasty?
A. Pulmonary embolism
B. Hemorrhage
C. Pressure ulcer development
D. Joint stiffness
Answer and Rationale:
A. Pulmonary embolism
