Orthopaedic Nurse Test Risk Assessment & Management 4

Question 1

A patient on warfarin for atrial fibrillation requires emergency hip surgery. Which intervention MOST rapidly reverses warfarin's anticoagulant effect?

Accepted Answer

Administer 4-factor prothrombin complex concentrate (4F-PCC)

Answer

4F-PCC provides rapid reversal of warfarin by replenishing factors II, VII, IX, and X within minutes.

Question 2

Which patient characteristic is the STRONGEST independent risk factor for postoperative delirium in orthopaedic patients?

Accepted Answer

Preexisting cognitive impairment

Answer

Preexisting cognitive impairment is the strongest predictor of postoperative delirium in older surgical patients.

Question 3

An orthopaedic nurse is performing the 5 Ps assessment on a patient with a lower leg cast. What does each 'P' assess?

Accepted Answer

Pain, Pallor, Paresthesia, Paralysis, Pulses

Answer

The 5 Ps (Pain, Pallor, Paresthesia, Paralysis, Pulses) are used to assess neurovascular status and detect compartment syndrome.

Question 4

Which measure is MOST effective in preventing surgical site infections (SSI) in patients undergoing total joint replacement?

Accepted Answer

Pre-operative skin antiseptic shower and timely perioperative antibiotic prophylaxis

Answer

Chlorhexidine showers before surgery combined with perioperative antibiotic prophylaxis within 60 minutes of incision are the most evidence-based SSI prevention measures.

Question 5

A patient recovering from a tibial plateau fracture reports that their pain has increased significantly and is no longer relieved by opioid analgesics. What should the nurse suspect?

Accepted Answer

Acute compartment syndrome

Answer

Pain out of proportion to injury that is unresponsive to opioids is the hallmark warning sign of acute compartment syndrome.

Orthopaedic Nurse Test Practice Test

Orthopaedic Nurse Test Practice Test

Orthopaedic Nurse Test Risk Assessment & Management 4