Orthopaedic Nurse Test Risk Assessment & Management 2

Question 1

A patient with a hip fracture has a Braden Scale score of 14. What does this indicate?

Accepted Answer

Mild risk for pressure injury

Answer

A Braden Scale score of 13–14 indicates mild risk for pressure injury development.

Question 2

Which lab value is MOST important to monitor when assessing DVT prophylaxis effectiveness in a patient receiving low-molecular-weight heparin?

Accepted Answer

Anti-Xa level

Answer

Anti-Xa levels are used to monitor the therapeutic effect of low-molecular-weight heparin.

Question 3

A post-operative total knee replacement patient suddenly develops tachycardia, hypoxia, and hypotension. What is the priority nursing action?

Accepted Answer

Apply supplemental oxygen and call a rapid response

Answer

These signs suggest pulmonary embolism; applying oxygen and activating rapid response is the priority action.

Question 4

Which patient is at HIGHEST risk for intraoperative and postoperative hemorrhage during orthopaedic surgery?

Accepted Answer

A patient with a history of von Willebrand disease

Answer

Von Willebrand disease impairs platelet adhesion and clotting factor VIII activity, significantly increasing bleeding risk.

Question 5

The STOP-BANG tool is used preoperatively in orthopaedic patients to screen for which condition?

Accepted Answer

Obstructive sleep apnea

Answer

The STOP-BANG questionnaire screens for obstructive sleep apnea, which increases anesthesia and airway risk.

Orthopaedic Nurse Test Practice Test