ONC Sports Injuries & Orthopaedic Trauma Practice
Exam 2025 – Comprehensive Review, Practice
Questions & Exam Prep Guide”
Prepare confidently for the ONC Sports Injuries and Orthopaedic Trauma Practice Exam
with this updated 2025 study resource featuring comprehensive review material, high-yield exam
topics, realistic practice questions, and expert rationales designed to help orthopaedic nurses pass
the ONC certification exam on the first attempt.
• ONC Sports Injuries practice exam
• Orthopaedic Trauma practice test
• Orthopaedic Nurses Certification sports injuries
• ONC trauma exam questions
A healthy 47-year-old injured the right knee while skiing. A moderate partial tear
of the anterior cruciate ligament (ACL) is confirmed with MRI. The patient has
opted for non- surgical treatment. Which of the following should the nurse
recognize as an appropriate intervention to manage the injury? a. Bracing and CT
scan to evaluate for stress fracture
Prescription for pregabalin (Lyrica) and rivaroxaban (Xarelto)
Knee aspiration and prescription for diclofenac (Voltaren)
Doppler ultrasound of lower leg and enoxaparin (Lovenox) - ANSWER✔✔ Key:
c
Rationale: Conservative treatment of moderate (Grade II) ACL injury includes
aspiration, immobilization, cryotherapy, and NSAID treatment. Use of
anticoagulants is contraindicated due to bleeding associated with the ACL injury.
,Reference: Core Curriculum for Orthopaedic Nursing (7th ed.), 2013, p. 581
A softball pitcher underwent surgical repair of the right anterior cruciate ligament
3 days ago and is now being seen in the surgeon's office. Which of the following
findings should the nurse identify as suspicious of infection? a. Swelling and
warmth in the lateral knee
Loss of appetite, constipation, and drowsiness
Serosanguinous drainage after exercise
Increased pain, new drainage, and low grade fever - ANSWER✔✔ Key: d
Rationale: Signs and symptoms of surgical site infection include increased pain,
drainage, and fever. Slight drainage, local warmth, and some discharge are not
unexpected during the early postoperative course.
Reference: Core Curriculum for Orthopaedic Nursing (7th ed.), 2013, p. 585
A 48-year-old athlete sustains a ruptured Achilles tendon during triathlon training.
In discussing the personal and medical history with the patient, the nurse should
recognize which of the following as a risk factor for this injury? a. Long distance
swimming exercises
Ongoing treatment for gout
Attending a weekly spinning class
Antihistamine use for seasonal allergies - ANSWER✔✔ Key: b
Reference: Core Curriculum for Orthopaedic Nursing (7th ed.), 2013, p. 591
Rationale: Risk factors associated with Achilles tendon rupture include prior
history of Achilles tendonitis, previous local cortisone injections, systemic
inflammatory arthritis (gout or rheumatoid arthritis), and use of fluoroquinolone
antibiotics.
, A patient with a ruptured Achilles tendon has undergone surgical repair and will
require 6 weeks of cast immobilization. As part of the patient's discharge plan, it
is MOST important for the nurse to assess the patient's ability to a. check pedal
pulse daily.
demonstrate plantar flexion technique.
ambulate with an assistive device.
perform the Thompson's test. - ANSWER✔✔ Key: c
Rationale: Patient discharge education following Achilles tendon repair should
focus on safe, non-weight-bearing ambulation with an assistive device. Casting
will immobilize the foot, preventing pedal pulse assessment or plantar flexion.
Thompson's test is a diagnostic assessment for tendon rupture.
Reference: Core Curriculum for Orthopaedic Nursing (7th ed.), 2013, p. 592
An ice skater sustains a first-degree ankle sprain. Which of the following
treatments should the nurse expect to be included in the patient's plan of care? a.
Pneumatic compression boot
Short leg fiberglass cast
Elastic bandage and crutches
Warm compresses and massage therapy - ANSWER✔✔ Key: c
Rationale: A common treatment for first degree sprain includes the use of an
elastic bandage and assisted ambulation to protect the joint while healing.
Reference: Core Curriculum for Orthopaedic Nursing (7th ed.), 2013, p. 420
A 12-year-old boy playing Pee Wee football is tackled and sustains a fracture to
the left clavicle. The nurse should teach the patient and his parents about use of
which of the following interventions as part of non-surgical treatment for this
injury?
Padded sling
Soft abduction immobilizer
Exam 2025 – Comprehensive Review, Practice
Questions & Exam Prep Guide”
Prepare confidently for the ONC Sports Injuries and Orthopaedic Trauma Practice Exam
with this updated 2025 study resource featuring comprehensive review material, high-yield exam
topics, realistic practice questions, and expert rationales designed to help orthopaedic nurses pass
the ONC certification exam on the first attempt.
• ONC Sports Injuries practice exam
• Orthopaedic Trauma practice test
• Orthopaedic Nurses Certification sports injuries
• ONC trauma exam questions
A healthy 47-year-old injured the right knee while skiing. A moderate partial tear
of the anterior cruciate ligament (ACL) is confirmed with MRI. The patient has
opted for non- surgical treatment. Which of the following should the nurse
recognize as an appropriate intervention to manage the injury? a. Bracing and CT
scan to evaluate for stress fracture
Prescription for pregabalin (Lyrica) and rivaroxaban (Xarelto)
Knee aspiration and prescription for diclofenac (Voltaren)
Doppler ultrasound of lower leg and enoxaparin (Lovenox) - ANSWER✔✔ Key:
c
Rationale: Conservative treatment of moderate (Grade II) ACL injury includes
aspiration, immobilization, cryotherapy, and NSAID treatment. Use of
anticoagulants is contraindicated due to bleeding associated with the ACL injury.
,Reference: Core Curriculum for Orthopaedic Nursing (7th ed.), 2013, p. 581
A softball pitcher underwent surgical repair of the right anterior cruciate ligament
3 days ago and is now being seen in the surgeon's office. Which of the following
findings should the nurse identify as suspicious of infection? a. Swelling and
warmth in the lateral knee
Loss of appetite, constipation, and drowsiness
Serosanguinous drainage after exercise
Increased pain, new drainage, and low grade fever - ANSWER✔✔ Key: d
Rationale: Signs and symptoms of surgical site infection include increased pain,
drainage, and fever. Slight drainage, local warmth, and some discharge are not
unexpected during the early postoperative course.
Reference: Core Curriculum for Orthopaedic Nursing (7th ed.), 2013, p. 585
A 48-year-old athlete sustains a ruptured Achilles tendon during triathlon training.
In discussing the personal and medical history with the patient, the nurse should
recognize which of the following as a risk factor for this injury? a. Long distance
swimming exercises
Ongoing treatment for gout
Attending a weekly spinning class
Antihistamine use for seasonal allergies - ANSWER✔✔ Key: b
Reference: Core Curriculum for Orthopaedic Nursing (7th ed.), 2013, p. 591
Rationale: Risk factors associated with Achilles tendon rupture include prior
history of Achilles tendonitis, previous local cortisone injections, systemic
inflammatory arthritis (gout or rheumatoid arthritis), and use of fluoroquinolone
antibiotics.
, A patient with a ruptured Achilles tendon has undergone surgical repair and will
require 6 weeks of cast immobilization. As part of the patient's discharge plan, it
is MOST important for the nurse to assess the patient's ability to a. check pedal
pulse daily.
demonstrate plantar flexion technique.
ambulate with an assistive device.
perform the Thompson's test. - ANSWER✔✔ Key: c
Rationale: Patient discharge education following Achilles tendon repair should
focus on safe, non-weight-bearing ambulation with an assistive device. Casting
will immobilize the foot, preventing pedal pulse assessment or plantar flexion.
Thompson's test is a diagnostic assessment for tendon rupture.
Reference: Core Curriculum for Orthopaedic Nursing (7th ed.), 2013, p. 592
An ice skater sustains a first-degree ankle sprain. Which of the following
treatments should the nurse expect to be included in the patient's plan of care? a.
Pneumatic compression boot
Short leg fiberglass cast
Elastic bandage and crutches
Warm compresses and massage therapy - ANSWER✔✔ Key: c
Rationale: A common treatment for first degree sprain includes the use of an
elastic bandage and assisted ambulation to protect the joint while healing.
Reference: Core Curriculum for Orthopaedic Nursing (7th ed.), 2013, p. 420
A 12-year-old boy playing Pee Wee football is tackled and sustains a fracture to
the left clavicle. The nurse should teach the patient and his parents about use of
which of the following interventions as part of non-surgical treatment for this
injury?
Padded sling
Soft abduction immobilizer
