Orthopaedic Nurse Test Orthopaedic Nurse Test Surgical Procedures & Perioperative Care

Question 1

Prior to total hip arthroplasty, which positioning precaution is most critical for the nurse to reinforce with the patient?

Accepted Answer

Avoid hip flexion beyond 90 degrees

Answer

Avoid crossing legs at the ankles

Answer

Keep the operative leg elevated above the heart

Answer

Apply ice to the hip every 2 hours

Question 2

Which classification system is most commonly used to assess the severity of open fractures?

Accepted Answer

Gustilo-Anderson classification

Answer

Garden classification

Answer

Neer classification

Answer

Weber classification

Question 3

A patient returning from spinal fusion surgery develops sudden weakness and loss of bladder control. What is the priority nursing action?

Accepted Answer

Notify the surgeon immediately

Answer

Administer prescribed analgesics

Answer

Reposition the patient for comfort

Answer

Encourage oral fluid intake

Question 4

Which anticoagulation agent is most commonly used for DVT prophylaxis following total knee replacement in the US?

Accepted Answer

Warfarin or a direct oral anticoagulant (DOAC)

Answer

Heparin infusion

Answer

Aspirin 81mg only

Answer

Clopidogrel

Question 5

Compartment syndrome is best confirmed by which assessment finding?

Accepted Answer

Pain out of proportion to injury with pain on passive stretch

Answer

Skin pallor over the affected limb

Answer

Moderate swelling with intact distal pulses

Answer

Patient report of numbness only

Question 6

What is the immediate treatment for confirmed acute compartment syndrome?

Accepted Answer

Emergency fasciotomy

Answer

Elevation of the extremity above heart level

Answer

Application of a compression dressing

Answer

IV corticosteroid administration