ONC Orthopedic Trauma Sports Injuries Practice Exam 50 Questions with Verified Answers
A 48-year-old athlete sustains a ruptured Achilles tendon during
... [Show More] triathlon training. In discussing the personal and medical history with the patient, the nurse should recognize which of the following as a risk factor for this injury? - CORRECT ANSWER Ongoing treatment for gout
A patient with a ruptured Achilles tendon has undergone surgical repair and will require 6 weeks of cast immobilization. As part of the patient's discharge plan, it is MOST important for the nurse to assess the patient's ability to - CORRECT ANSWER . ambulate with an assistive device.
healthy 47-year-old injured the right knee while skiing. A moderate partial tear of the anterior cruciate ligament (ACL) is confirmed with MRI. The patient has opted for non- surgical treatment. Which of the following should the nurse recognize as an appropriate intervention to manage the injury - CORRECT ANSWER Knee aspiration and prescription for diclofenac (Voltaren)
A softball pitcher underwent surgical repair of the right anterior cruciate ligament 3 days ago and is now being seen in the surgeon's office. Which of the following findings should the nurse identify as suspicious of infection? - CORRECT ANSWER Increased pain, new drainage, and low grade fever
An ice skater sustains a first-degree ankle sprain. Which of the following treatments should the nurse expect to be included in the patient's plan of care? - CORRECT ANSWER Elastic bandage and crutches
12-year-old boy playing Pee Wee football is tackled and sustains a fracture to the left clavicle. The nurse should teach the patient and his parents about use of which of the following interventions as part of non-surgical treatment for this injury? - CORRECT ANSWER Padded sling
Little League baseball pitcher has been diagnosed with a partial tear of the ulnar collateral ligament (UCL) of the pitching arm. The nurse should reinforce instruction on which of the following as part of a conservative course of treatment for this patient? - CORRECT ANSWER Rest between games and a limited number of pitches per game
A marathon runner develops foot pain and is diagnosed with plantar fasciitis. Which of the following statements by the patient should the nurse recognize as correct concerning this condition? - CORRECT ANSWER "Plantar fasciitis is chronic, and complete resolution takes several months to a year."
rugby player is unable to rise and walk after experiencing an aggressive tackle. In the emergency department, the patient is diagnosed with a dislocated right hip. The nurse's assessment should be based on knowledge that which of the following structures can be affected by this injury? - CORRECT ANSWER Sciatic nerve and femoral head
A patient is taken to the emergency department after experiencing a knee injury during a weekend game of flag football. Magnetic resonance imaging (MRI) with MR gadolinium contrast is ordered. Which of the following should the nurse ensure is completed before the patient goes for the study? - CORRECT ANSWER Take a detailed health and renal history.
A high school basketball player complains of severe left knee pain after falling during a game. A tear of the meniscus is suspected. The nurse should know which of the following maneuvers would be performed to assess for a meniscal tear? - CORRECT ANSWER McMurray's sign
A runner complains of pain over the calcaneus and is diagnosed with plantar fasciitis. Consistent with this diagnosis, the nurse identifies which of the following? - CORRECT ANSWER "Start-up" pain after rest
A professional football player undergoes reconstruction of the left anterior cruciate ligament. He identifies his current pain as 4 on 0-10 intensity scale and has full movement and sensation after epidural anesthesia. Six hours after surgery, the patient is unable to void. Which of the following should the nurse identify as a risk factor for postoperative urinary retention for this patient? - CORRECT ANSWER . Epidural anesthesia and 800 cc intravenous fluids
A minor league baseball pitcher undergoes surgical rotator cuff repair. As the nurse prepares the patient for discharge, which statement by the patient should the nurse recognize as indicating he understands the postoperative treatment plan? - CORRECT ANSWER "I'll wear a sling and limit activities for a few months
A tennis player is diagnosed with lateral epicondylitis of the right arm. A tennis elbow band is recommended, and the patient asks the nurse about the benefits of this treatment. The nurse's response should be based on knowledge that the tennis elbow band - CORRECT ANSWER Reduces inflammation and pain of extensor tendons.
A gymnast diagnosed with chondromalacia patella is advised to avoid activities that worsen the pain. The nurse also should reinforce the need for the patient to perform which of the following types of exercise? - CORRECT ANSWER . Quadriceps strengthening
During a recent competition, a weight lifter says he felt a sudden burning pain in his lower back that has since resolved to tenderness. When seen in the emergency department, he is diagnosed with a second-degree muscle strain. Although he is advised to rest the injured area, he insists he wants to return to competition in the morning. Which of the following statements by the nurse should be appropriate in this situation? - CORRECT ANSWER If this injury is not properly treated, a more dramatic injury could occur
A high school football player experiences a right shoulder dislocation during practice and is taken to the emergency department. The nurse's assessment should be based on awareness of the risk for injury to the - CORRECT ANSWER brachial nerve.
A professional hockey player diagnosed with femoroacetabular impingement (FAI) has had no success with conservative treatment. Surgery is planned. The patient asks the nurse about the purpose of the arthroscopy. The nurse's response should be based on knowledge that the goal of surgery for this condition is to - CORRECT ANSWER correct deformity of the femoral head.
A high school soccer player complains of acute calf pain within 10 minutes after the start of each game. After assessment of compartment pressures by the orthopaedic physician, the patient is diagnosed with exercise-induced chronic compartment syndrome. The nurse should provide education to prepare the patient for which of the following procedures - CORRECT ANSWER Fasciotomy
An elite long-distance runner comes to the clinic with complaint of pain and tenderness over the anteromedial knee. After a diagnosis of pes anserinus bursitis, the patient is instructed to rest the knee and avoid activities that cause pain. The nurse should recognize the next step in rehabilitation will be a stretching and conditioning program that includes which of the following? - CORRECT ANSWER . Quadriceps sets
A basketball player sprains her right ankle in landing after a rebound. The nurse assists in the physical examination of the patient. The nurse should recognize which of the following maneuvers will be used to assess ligament stability? - CORRECT ANSWER Anterior drawer test
A golfer for the local college team is diagnosed with medial epicondylitis. Which of the following statements by the nurse should represent appropriate self-care instructions for this patient - CORRECT ANSWER . "Apply ice for 20 minutes every 2 hours while awake."
A high school cheerleader falls during performance of a pyramid stunt at practice. Complaining of severe neck pain, she is taken to the emergency department. CT scan confirms stable fractures at cervical vertebrae 5 and 6, and the patient is placed in a halo vest. Which of the following statements by the nurse should represent appropriate instructions for this patient and her parents? - CORRECT ANSWER "Get up with a physical therapist when you are ready to ambulate."
A professional golfer is diagnosed with a torn rotator cuff and conservative treatment is discussed. Which of the following statements by the nurse should be appropriate for the patient's self-care instructions? - CORRECT ANSWER "Avoid any activity that reproduces your symptoms."
An intoxicated college student punches a wall and sustains a closed boxer's fracture of the right hand. An ulnar gutter splint is applied. Which of the following should the nurse include in discharge teaching for this patient? - CORRECT ANSWER . Maintenance of absorbent padding between the fingers
A postmenopausal female slips on the ice outside her home and falls on her outstretched right hand. X-ray confirms a Colles' fracture, which is treated with external fixation. Based on knowledge of risks associated with this type of fracture, the nurse should be alert to deficits of which of the following nerves? - CORRECT ANSWER Median
A patient diagnosed with hallux valgus asks the nurse about appropriate foot wear. Which of the following should the nurse recommend? - CORRECT ANSWER Wide shoe with extra depth in the toe box
In preparing to discharge a patient diagnosed with a grade 3 ankle sprain, the urgent care nurse should reinforce which of the following instructions regarding the patient's weight-bearing status? - CORRECT ANSWER Protected weight bearing
A 29-year-old female is diagnosed with DeQuervain's tenosynovitis. The patient asks the nurse how this condition develops. After reviewing the patient's personal and medical history, the nurse should suspect the injury is MOST likely related to - CORRECT ANSWER repetitive lifting of her infant.
A patient is diagnosed with a scaphoid fracture after falling in an icy parking lot. After a cast is placed for immobilization, the patient asks the nurse how long he will have to wear the cast. Which of the following should represent the nurse's correct response concerning the average time for immobilization? - CORRECT ANSWER 6 to 8 weeks
A 32-year-old male patient experienced traumatic amputation below the right knee in a motor vehicle crash. During the patient's recovery, the nurse should encourage him to stop smoking and limit coffee intake because nicotine and caffeine - CORRECT ANSWER cause vasoconstriction and delay healing.
An elevator mechanic and father of three children suffers multiple fractures of both upper and lower extremities in a work-related accident. What intervention by the nurse should demonstrate greatest awareness of the patient's psychosocial needs following this injury? - CORRECT ANSWER Spend time with the patient and involve the interprofessional team.
A construction worker presents with a suspected torn rotator cuff. Through shared decision making, nonsurgical management is identified as the treatment plan. Which of the following should the nurse include in patient teaching? - CORRECT ANSWER Follow up with a physical therapist and avoid aggravating activities.
A patient who uses a commercial ironing press for 35 hours a week has been diagnosed with carpal tunnel syndrome. The patient asks the nurse how this causes the numbness and pain he is experiencing. The nurse's response should be based on the knowledge that an enlarged ligament compresses the - CORRECT ANSWER median nerve.
After tripping over a retaining wall in the garden and falling on an extended elbow, a female patient is diagnosed with a supracondylar fracture. The nurse should conduct a detailed neurovascular assessment based on awareness that displacement with this injury may cause - CORRECT ANSWER compartment syndrome.
A patient admitted with a hip fracture cannot be sent to surgery for fracture repair until medical clearance can be provided. When the nurse sets up Buck's traction per order, the patient's family asks why the boot is needed. The nurse's answer should be based on knowledge that Buck's traction - CORRECT ANSWER decreases muscle spasms.
Following open reduction and internal fixation (ORIF) of a right hip fracture, a patient receives orders to begin anticoagulation therapy. The nurse should recognize the need to review prothrombin time results for which of the following medications? - CORRECT ANSWER Warfarin (Coumadin)
A patient had a long leg cast applied for a tibial plateau fracture. Within a short time after arrival on the orthopaedic unit, the patient begins to complain of unrelenting pain. The nurse should contact the physician for an order to bivalve the cast based on the patient's recognized risk of developing - CORRECT ANSWER compartment syndrome.
A 10-year-old child is diagnosed with osteochondritis dissecans. The child's parents are advised to modify the child's activity. The nurse should provide instruction on which of the following additional strategies for conservative management? - CORRECT ANSWER Bracing
Following a motor vehicle crash, a patient is hospitalized with a nondisplaced pelvic fracture. Which of the following activity should the nurse recognize as MOST likely for this patient? - CORRECT ANSWER Ambulation with rolling walker
Following a fall during mountain climbing, a patient is sent by helicopter to the nearest trauma center. Diagnosed with multiple fractures of the right femoral shaft and tibia, the patient is to be placed in skeletal traction. Which of the following weights should the nurse expect to maintain on the patient's traction? - CORRECT ANSWER . 20 pounds
A nurse is working with a student in caring for a patient in a long-arm cast after diagnosis with multiple forearm and humeral fractures. The student asks about the surgeon's choice of Plaster of Paris casting material. Which of the following should be the nurse's correct response? - CORRECT ANSWER "The surgeon uses plaster for multiple cast changes
A 4-year-old child is diagnosed with a pathologic tibial fracture. Based on the child's health history, the nurse should recognize the fracture is MOST likely due to osteopenia associated with which of the following chronic medical conditions? - CORRECT ANSWER Cerebral palsy
Physical abuse is suspected to be a factor in the diagnosed injuries of a 4-year-old admitted to the emergency department. The nurse should recognize which of the following types of fracture as the MOST likely result of abuse in a child of this age? - CORRECT ANSWER Physeal fracture
A patient who works for a moving company is diagnosed with a herniated lumbar disk. Conservative treatment is initiated and the nurse provides patient education about this condition. Which of the following statements should be MOST important for the nurse to include? - CORRECT ANSWER Contact your doctor at once if you experience any progressive weakness in your legs."
A patient with a femoral neck fracture undergoes hemiarthroplasty. Among the strategies to decrease the risk of postoperative venous thromboembolism, the nurse should reinforce instruction on performing which of the following exercises? - CORRECT ANSWER Ankle pumps
A farmer is brought to the emergency department after three fingers on his right hand are amputated in a machine. Paramedics have the amputated fingers, and they tell the nurse the patient was adamant about having the fingers re-implanted. How should the nurse maintain the amputated fingers to provide the best opportunity for re-implantation? - CORRECT ANSWER Wrap them in sterile gauze and place in a plastic bag.
A patient whose legs had been trapped under heavy equipment for several hours is brought to the emergency department. Because of the nature of the crush injury, the nurse is concerned about development of rhabdomyolysis. Which of the following should the nurse assess carefully to determine if this complication is developing? - CORRECT ANSWER Urine output
After 3 weeks in training, an 18-year-old military recruit is diagnosed with a stress fracture of the talus in his left foot. A fracture shoe is prescribed and the patient is placed on protected weight-bearing with crutches. The recruit asks the nurse how long the activity restrictions will be necessary. Which of the following should represent the nurse's correct response? - CORRECT ANSWER "The bone should be healed in about 6-8 weeks." [Show Less]