Orthopaedic Nurse Test Risk Assessment & Management 5

Question 1

Which tool is used to screen orthopaedic patients for fracture risk due to osteoporosis?

Accepted Answer

FRAX Tool

Answer

The FRAX tool calculates 10-year probability of major osteoporotic fracture using clinical risk factors and optional bone density data.

Question 2

A patient develops HIT (heparin-induced thrombocytopenia) while receiving unfractionated heparin post-arthroplasty. What is the CORRECT management?

Accepted Answer

Discontinue heparin and administer a direct thrombin inhibitor

Answer

All heparin products must be stopped and replaced with a non-heparin anticoagulant such as argatroban or bivalirudin in HIT.

Question 3

An elderly patient with a hip fracture is admitted from a nursing home. Which additional risk assessment is ESSENTIAL to complete on admission?

Accepted Answer

Nutritional assessment using the MNA or similar tool

Answer

Malnutrition is prevalent in elderly hip fracture patients and independently predicts complications, delayed healing, and mortality.

Question 4

Which finding on a postoperative patient's assessment MOST warrants notification of the surgeon for possible wound complication?

Accepted Answer

Purulent drainage with erythema extending 2 cm from wound edges on day 5

Answer

Purulent drainage with spreading erythema is a classic sign of surgical site infection requiring prompt provider notification.

Question 5

A patient with a spinal cord injury at T6 develops sudden severe headache, diaphoresis above the level of injury, and bradycardia. The nurse should FIRST:

Accepted Answer

Sit the patient upright and identify the noxious stimulus

Answer

These are signs of autonomic dysreflexia; sitting the patient upright drops blood pressure and the trigger (e.g., full bladder) must be found and removed.

Orthopaedic Nurse Test Practice Test

Orthopaedic Nurse Test Practice Test

Orthopaedic Nurse Test Risk Assessment & Management 5