Docsity
Log inSign up
Docsity
Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity

Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan

Guidelines and tips
Guidelines and tips
Sell on Docsity
Sell on Docsity
Log inSign up

Prepare for your exams

Study with the several resources on Docsity

Find documents

Prepare for your exams with the study notes shared by other students like you on Docsity

Search Store documents

The best documents sold by students who completed their studies

Search through all study resources
Docsity AINEW

Summarize your documents, ask them questions, convert them into quizzes and concept maps

Explore questions

Clear up your doubts by reading the answers to questions asked by your fellow students

Earn points to download

Earn points by helping other students or get them with a premium plan

Share documents
download point icon20 Points

For each uploaded document

Answer questions
download point icon5 Points

For each given answer (max 1 per day)

All the ways to get free points
Get points immediately

Choose a premium plan with all the points you need

Study Opportunities

Choose your next study program

Get in touch with the best universities in the world. Search through thousands of universities and official partners

Community

Ask the community

Ask the community for help and clear up your study doubts

University Rankings

Discover the best universities in your country according to Docsity users

Free resources

Our save-the-student-ebooks!

Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors

From our blog

Exams and Study
Go to the blog

Orthopedic Nursing Certification Exam 2025: Bone Healing & Fracture Management Q&A, Exams of Medicine

Kent State University (KSU) - East Liverpool CampusMedicine

Orthopedic nursing overview focusing on bone healing and fracture management. It covers bone healing stages, diagnostic radiology, and fracture types (complete, incomplete, displaced, non-displaced). Immobilization methods like internal/external fixation, cast care, and traction are addressed. Potential complications (fat emboli, compartment syndrome) and nursing interventions are outlined. Hip, knee, and spinal fractures are discussed, including surgical interventions (hip resurfacing, total knee replacement), spinal cord injury levels, spinal shock, and autonomic dysreflexia. Conservative and surgical back pain treatments conclude this guide for orthopedic nursing practice, valuable for students/professionals seeking a quick reference on assessment, intervention, and management.

Typology: Exams

2024/2025

Available from 05/18/2025

Nurseexcel
Nurseexcel 🇺🇸

5

(1)

832 documents

1 / 14

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
1 /
14
Orthopedic Nursing Test Certification Exam 2025 Updated
Questions and Answers
1. 5 Steps in Bone Healing: 1. Hematoma
2. Fibrocartilaginous Callus Formation
3. Bony Callus Formation
4. Remodeling
2. Hematoma: -inflammatory process
-cell migration to area
3. Fibrocartilaginous Callus Formation: -starts within 48 hours
-granulation replaces hematoma
-osteoblasts build a web of collagen fibers (3 weeks)
4. Bony Callus Formation: -starts in 3-4 weeks
-new bone
-osteoclasts invade: reabsorbs excess callus as it is replaced by mature bone
5. Remodeling: -2-4 months
-plates/bars are laid down
-repaired along lines of stress
6. Factors in Bone Healing: - calcium
- vitamin D
- Alkaline Phosphate
- Decreased circulation
- No osteoporosis
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe

Partial preview of the text

Download Orthopedic Nursing Certification Exam 2025: Bone Healing & Fracture Management Q&A and more Exams Medicine in PDF only on Docsity!

1 /

Orthopedic Nursing Test Certification Exam 2025 Updated

Questions and Answers

  1. 5 Steps in Bone Healing: 1. Hematoma
  2. Fibrocartilaginous Callus Formation
  3. Bony Callus Formation
  4. Remodeling
  5. Hematoma: - inflammatory process
  • cell migration to area
  1. Fibrocartilaginous Callus Formation: - starts within 48 hours
  • granulation replaces hematoma
  • osteoblasts build a web of collagen fibers (3 weeks)
  1. Bony Callus Formation: - starts in 3 - 4 weeks
  • new bone
  • osteoclasts invade: reabsorbs excess callus as it is replaced by mature bone
  1. Remodeling: - 2 - 4 months
  • plates/bars are laid down
  • repaired along lines of stress
  1. Factors in Bone Healing: - calcium
  • vitamin D
  • Alkaline Phosphate
  • Decreased circulation
  • No osteoporosis

2 /

  • no infection
  1. Diagnostic Radiology: - Xray
  • MRI
  • Bone Scan
  • Myelogram
  1. Myelogram: - check for allergies (Shell fish)
  • dye used
  1. CSF: - clear
  • appears on a dressing as a green halo
  1. Dislocation: - loss of articulation of the bone ends in the joint caps
  2. Subluxation: - partial dislocation where bone ends still partially touch
  3. Nursing Care - Joint Trauma: - Risk for Injury
  • Acute Pain
  • Impaired Physical Mobility
  1. Ice / Heat: - 20 minutes on, 20 minutes off
  2. Bursitis: - inflammation of bursa
  3. Epicondylitis: - Tennis Elbow
  • inflammation of tendon at point of origin to bone

4 /

  • restore normal position
  1. Closed Reduction: - manual manipulation of skin
  2. Open Reduction: - surgical manipulation of bone
  3. Immobilization: - goal : fixation/alignment of segments
  4. Methods of Immobilization: - Internal fixation
  • External fixation
  1. Internal Fixation: - pins, plates, rods, hardware
  • advantages = fast ambulation
  • disadvantages = surgery is required
  1. External Fixation: - casts, splints, external fixation devices (rods outside limb)
  • advantages = may not require surgery, may allow for more movement
  • disadvantages = cast require slow ambulation, no movement of limb, EFD requires surgery
  1. ORIF: - open reduction internal fixation

5 /

  1. Principles of Cast Care: - elevation
  • turn/rotate
  • skin edges - pad PRN
  • pain control
  • window/bivalve
  • hot spots/drainage
  • neuro checks
  • cool air to relieve itching
  1. Traction: - maintain the pulling force and direction of traction
  • perform neuro checks
  • assess for common complications of immobility
  • teach reasoning behind traction
  1. Neuromuscular Checks: - 5 P's
  • pulses, pain, pallor, paresthesia,paresis
  1. Maintenance of Traction: - maintain body alignment with direction of pull
  • do not wedge the pts foot or place against floorboard
  • weights hang freely and do not touch the floor
  • nothing obstructing the ropes
  • knots on rope are not in contact with the pulley
  1. Skin Traction: - short term
  • apply to skin
  • low weight (under 10 lbs)
  • immobilize and align
  • muscle spasms

7 /

  1. Autograft: - from patient
  2. Allograft: from donor
  3. Sites Utilized for Bone Grafting: - iliac crest or the tibia
  4. ORIF with ICBG: - open reduction internal fixation with iliac crest bone graft
  5. Nursing Care Priorities with Fractures: - hemorrhage
  • neurovascular assessment
  • elevation
  • mobilization
  • SCD's
  • Lovenox (heparin)
  • O
  • IS q1hr, WA, DB + C
  • pain control
  • stool softeners
  • fluid replacement
  • monitor for infection
  1. Systems of the Body with Priority: - skull (LOC, Pupils, Orientation)
  • facial (respiratory)
  • rib (respiratory)
  1. Healing Complications: - delayed union
  • non-union
  • malunion
  1. Delayed Union: - abnormal length of healing time (< than 6 months)
  2. Non-Union: - no healing within 6- 8 months

8 /

  1. Malunion: - presence of false joint
  • growth of fragments of bone in a faulty position
  1. Osetomyelitis: - bone infection
  • symptoms = fever, chills, redness, and drainage
  • interventions = antibiotic therapy & hang hygiene with aseptic technique
  1. Fat Embolus: - long bone fractures
  • release of fat from exposed marrow
  • fat breaks into fatty acid and attracts platelets
  • occludes small vessels
  • ischemia
  • increased capillary permeability/rupture
  • fluid shift = edema
  1. Signs and Symptoms of Fat Emboli: - respiratory failure - hypoxia (tachycar- dia, tachypnea, fever)

10 / Treat with : Anticoagulants

  1. Avascular Necrosis: - a result of obstructed blood flow
  • loss of bone
  • can occur prior to surgery or 4 - 6 months post surgery
  1. Hip Fracture: - located proximal 1/3 of femur
  • head, neck, trochanter region
  1. Intracapsular Hip Fracture: - within the joint
  • head or neck Arthroplasty
  1. Extracapsular Hip Fracture: - outside the joint
  • trochanter region ORIF (screw and hardware)

11 /

  1. Nursing Care of Hip Fractures: - NO ADDUCTION
  • foam splint or pillow between legs
  • turn to unaffected side
  • neurovascular checks Q
  • ambulate within 24 hours, use walker
  • no flexion > 90 degrees (raised toilet seat)
  • standard fracture care
  1. Hip Resurfacing: - new
  • replaces total hip replacement
  • preserves more bone
  • shave and cap the bone
  • insert cobalt chrome implant
  1. Advantages to Hip Resurfacing: - reduces post-op complications of disloca- tion and inaccurate leg length
  • potential to last longer
  • if fails, they can do THR
  1. Total Knee Replacement: - 8 - 12 inch incision on front of joint
  • damaged tissue on femur, tibia, and patella removed
  • hardware applied
  1. Hardware of a Total Knee Replacement: - femoral component = strong metal
  • tibial component = durable plastic, held in metal tray
  • plastic patellar component
  1. Minimally Invasive Knee Replacement: - requires 3 inch incision on the side of the knee

13 /

  1. Levels of Spinal Cord Injuries: - at or above C8 = tetrapalgeia (quadriplegic)
  • at or below T1 - paraplegic
  • C1-C3 = death from cardio respiratory collapse
  • C3-C5 = death from respiratory paralysis
  1. Spinal Shock: - cervical or high thoracic injuries
  • causes massive vasodilation
  • flaccid paralysis below injury
  • body temperature same as environment
  • can start immediately and last 4 - 6 weeks (months)
  1. Spinal Shock Symptoms: BP - hypotension Pulse - bradycardia
  2. Autonomic Dysreflexia: - Spinal cord injuries at or above T
  • triggered by stimuli that causes abdominal discomfort
  • neurologic emergency
  1. Autonomic Dysreflexia Symptoms: BP - Severe Hypertension Pulse - Bradycardia
  2. Back Pain Conservative Treatments: - exercise
  • meditation
  • steroid injections
  1. Back Pain Surgical Treatments: - laminectomy
  2. Nursing Care for Laminectomies: - incision
  • neuro checks
  • positioning = straight alignment
  • log rolling

14 /

  • post op interventions
  1. Boomeritis: - not a official Dx
  • inflammation found in the boomer generation related to people not knowing when to slow down with aging