Orthopaedic Nurse Test Communication & Stakeholder Relations 3

Question 1

A patient with total hip replacement is being discharged and does not understand precaution instructions despite verbal teaching. What is the next best step?

Accepted Answer

Use teach-back method, supplement with written instructions, and involve a family member if available

Answer

The teach-back method confirms comprehension and multi-modal reinforcement improves retention, especially for complex orthopaedic precautions.

Question 2

An orthopaedic unit nurse disagrees with a physician's order for early weight-bearing in a patient with a tibial plateau fracture. What is the appropriate action?

Accepted Answer

Voice the concern directly to the physician using assertive communication, document the exchange

Answer

Assertive, respectful communication of clinical concerns is a professional responsibility; documenting the exchange creates an accountability record.

Question 3

During a busy shift, a colleague appears overwhelmed after a difficult patient interaction. What communication approach best supports team cohesion?

Accepted Answer

Offer a brief check-in, validate feelings, and ask if help is needed with patient assignments

Answer

Peer support through brief check-ins validates colleagues' experiences and strengthens unit cohesion while preventing burnout escalation.

Question 4

A patient asks the orthopaedic nurse about the risks of their upcoming spinal surgery. The nurse's best response is to:

Accepted Answer

Explain that only the surgeon can discuss surgical risks and facilitate a timely surgeon conversation

Answer

Informed consent regarding surgical risks is the surgeon's legal responsibility; the nurse's role is to facilitate access to that conversation promptly.

Question 5

Which documentation practice best supports continuity of care for an orthopaedic patient receiving physical therapy?

Accepted Answer

Documenting patient's pain response, functional progress, and barriers to therapy in the medical record

Answer

Comprehensive nursing documentation of pain, progress, and barriers ensures all team members have the information needed for coordinated care.

Orthopaedic Nurse Test Practice Test

Orthopaedic Nurse Test Practice Test

Orthopaedic Nurse Test Communication & Stakeholder Relations 3