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HURST Orthopedics Review (2026) – 180 Questions on Fractures, Traction, Cast Care & Amputations

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This HURST Orthopedics Review 2026 contains approximately 180 verified exam questions and answers focused on fracture management, cast care, traction principles, total hip replacement, and amputation rehabilitation. The material thoroughly reviews fracture signs and symptoms (pain, crepitus, deformity, shortening), neurovascular assessments (pulse, color, movement, sensation, cap refill, temperature), and high-risk complications including shock, fat embolism (snowstorm CXR, petechiae, conjunctival hemorrhages), and compartment syndrome (pages 1–4). It also provides detailed guidance on fasciotomy, cast bivalving, plaster vs fiberglass cast care, prevention of pressure sores, and proper neurovascular monitoring using the 5 P’s. The guide further explores traction management (skin vs skeletal traction, Buck’s traction, Steinmann pins, Gardner-Wells tongs, Halo vest), sterile pin care, continuous traction rules, prevention of foot drop, and strict alignment protocols. In addition, it includes comprehensive post-operative care for total hip replacement (neutral rotation, abduction positioning, trochanter roll use, weight-bearing precautions, dislocation signs, prophylactic antibiotics), as well as amputation care including phantom pain management, stump shaping, limb socks, crutch fitting, walker and cane use, and strengthening strategies for rehabilitation. The structured Q&A format reinforces high-yield NCLEX-style testing strategies and prioritization concepts in orthopedic nursing care. This document may concern: – Nursing students preparing for medical-surgical exams – HURST Review participants – NCLEX-RN candidates reviewing orthopedic content – LPN to RN bridge students – Med-surg clinical rotation students It is especially valuable for learners using core medical-surgical nursing textbooks such as Lewis’s Medical-Surgical Nursing or similar orthopedic nursing review resources aligned with NCLEX preparation standards. Keywords: HURST orthopedics review, fracture signs symptoms, neurovascular checks 5 Ps, fat embolism syndrome, compartment syndrome nursing care, fasciotomy treatment, plaster cast care, fiberglass cast advantages, Buck traction, skeletal traction pin care, Steinmann pins, Gardner Wells tongs, total hip replacement precautions, trochanter roll purpose, hip dislocation signs, prophylactic antibiotics hip surgery, amputation post op care, phantom pain management, stump shaping cone formation, crutch fitting axilla distance, walker ambulation technique, foot drop prevention, orthopedic nursing NCLEX

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HURST Orthopedics
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HURST Orthopedics

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HURST Review Orthopedics
2026 Exam Questions and
Verified Answers | Already
Graded A+



Fractures: Signs/Symptoms include - 🧠 ANSWER ✔✔-pain and tenderness


-unnatural movement

-deformity (possible)

-shortening of extremity- caused by muscle spasm

-crepitus

,-swelling

-discoloration

-worry about compartment syndrome


What is the treatment for fractures? - 🧠 ANSWER ✔✔-immobilize the bone

ends plus the adjacent joints

-support fracture above and below the site

-limit movement as much as possible

-splint helps prevent fat emboli and muscle spasms

-neurovascular


What do you assess for neuromuscular checks? - 🧠 ANSWER ✔✔pulse,

color, movement, sensation, cap refill and temperature


for an open fracture what should you do? - 🧠 ANSWER ✔✔cover with

something sterile

Fractures Treatment: What is the most important thing? - 🧠 ANSWER

✔✔neurovascular checks


What are complications are fractures? - 🧠 ANSWER ✔✔-shock

, -fat embolism

-compartment syndrome


Shock can occur depending on - 🧠 ANSWER ✔✔amount of trauma and

type of injury


Shock can occur specifically with - 🧠 ANSWER ✔✔-pelvic fractures


-crushing fractures

-multiple long bone fractures


With what type of fractures do you see fat embolism? - 🧠 ANSWER ✔✔-

long bones (femur)

-pelvic fractures

-crushing injuries

The same fracture that can cause fat embolism also cause - 🧠 ANSWER

✔✔shock


What are the Signs/Symptoms of fat emboli - 🧠 ANSWER ✔✔petechiae or

rash over chest

conjunctival hemorrhages



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