FREE Ultimate Orthopaedic Nurse Questions and Answers

Question 1

Which of the following scenarios most frequently results in stiffness for a patient with osteoarthritis?

Accepted Answer

After periods of rest

Answer

A hallmark symptom of osteoarthritis is 'gelling' or stiffness that occurs after periods of inactivity, such as waking up in the morning or sitting for a prolonged time. This stiffness typically improves within 30 minutes of movement. This phenomenon is due to the synovial fluid becoming less viscous during rest, making initial movement more difficult.

Question 2

Osteomyelitis in the right knee and distal femur of a 48-year-old patient. Which of the ROM exercises for the right leg should the patient be instructed to perform?

Accepted Answer

ROM exercises of the right hip and ankle

Answer

In osteomyelitis of the knee and distal femur, the infected area needs to be immobilized and rested to promote healing and prevent further spread of infection. However, to prevent stiffness and maintain mobility in adjacent joints, range-of-motion (ROM) exercises should be performed on the unaffected joints, such as the hip and ankle, to preserve their function and prevent complications like contractures.

Question 3

A multiple myeloma patient has acquired a bone metastasis. Which kind of medical care is recommended to help avoid fractures?

Accepted Answer

Bisphosphonates

Answer

Multiple myeloma often leads to osteolytic lesions and bone metastases, significantly increasing the risk of pathological fractures. Bisphosphonates are a class of drugs that inhibit osteoclast activity, thereby reducing bone resorption and strengthening bone structure. They are commonly used to prevent and manage skeletal-related events, including fractures, in patients with bone metastases.

Question 4

A 10-year-old girl has a 15-degree scoliosis. Which of the following therapies is best to start with?

Accepted Answer

Physical rehabilitation

Answer

For a 10-year-old girl with a mild 15-degree scoliosis, the initial and most appropriate treatment is typically conservative management. Physical rehabilitation, including specific exercises to strengthen core muscles and improve posture, is often recommended to prevent curve progression and manage symptoms. Bracing or surgery are usually reserved for more severe or progressing curves.

Question 5

When a patient utilizes a walker to get around, the walker's height should be

Accepted Answer

slightly below the waist

Answer

The correct height for a walker ensures proper posture and minimizes strain on the patient. When standing upright with arms relaxed at the sides, the handgrips of the walker should be at the level of the patient's wrist crease or slightly below the waist. This allows for a slight bend in the elbows (15-30 degrees) when grasping the handles, providing optimal support and balance.

Orthopaedic Nurse Test Practice Test

Orthopaedic Nurse Test Practice Test

FREE Ultimate Orthopaedic Nurse Questions and Answers