1. What is the most important nursing intervention after a patient
receives a spinal fusion?
A. Encouraging early ambulation
B. Monitoring for signs of infection
C. Assessing bowel and bladder function
D. Positioning the patient on their side
Answer and Rationale:
C. Assessing bowel and bladder function
Rationale: Spinal surgeries, particularly in the lumbar region, may
affect nerve function related to bowel and bladder control.
2. What is the primary concern in a patient with a pelvic fracture?
A. Nerve compression
B. Hemorrhage
C. Infection
D. Muscle weakness
Answer and Rationale:
B. Hemorrhage
,Rationale: Pelvic fractures are associated with significant vascular
structures, making hemorrhage a major concern and a leading
cause of mortality.
3. Which sign is most suggestive of a rotator cuff injury?
A. Inability to lift the arm above shoulder level
B. Numbness in the fingers
C. Swelling at the shoulder joint
D. Audible clicking during movement
Answer and Rationale:
A. Inability to lift the arm above shoulder level
Rationale: A rotator cuff injury typically results in limited range
of motion and pain, particularly during overhead movements.
4. What is a priority teaching point for a patient post-total hip
arthroplasty?
A. Avoid crossing your legs at the knees
B. Sleep only on the operated side
C. Limit fluid intake to prevent swelling
D. Use a low-seated chair to rest
Answer and Rationale:
A. Avoid crossing your legs at the knees
, Rationale: Crossing legs can lead to dislocation of the prosthetic
joint. Patients should also maintain precautions to prevent
excessive hip flexion or internal rotation.
5. A patient with Paget’s disease is prescribed calcitonin. What is
the purpose of this medication?
A. Increase bone density
B. Reduce bone resorption
C. Decrease inflammation in joints
D. Enhance calcium absorption
Answer and Rationale:
B. Reduce bone resorption
Rationale: Calcitonin inhibits osteoclast activity, reducing bone
resorption and managing Paget’s disease symptoms.
6. What is a common complication of long-term use of NSAIDs in
orthopedic conditions?
A. Kidney stones
B. Peptic ulcers
C. Liver failure
D. Hypokalemia
Answer and Rationale:
B. Peptic ulcers
receives a spinal fusion?
A. Encouraging early ambulation
B. Monitoring for signs of infection
C. Assessing bowel and bladder function
D. Positioning the patient on their side
Answer and Rationale:
C. Assessing bowel and bladder function
Rationale: Spinal surgeries, particularly in the lumbar region, may
affect nerve function related to bowel and bladder control.
2. What is the primary concern in a patient with a pelvic fracture?
A. Nerve compression
B. Hemorrhage
C. Infection
D. Muscle weakness
Answer and Rationale:
B. Hemorrhage
,Rationale: Pelvic fractures are associated with significant vascular
structures, making hemorrhage a major concern and a leading
cause of mortality.
3. Which sign is most suggestive of a rotator cuff injury?
A. Inability to lift the arm above shoulder level
B. Numbness in the fingers
C. Swelling at the shoulder joint
D. Audible clicking during movement
Answer and Rationale:
A. Inability to lift the arm above shoulder level
Rationale: A rotator cuff injury typically results in limited range
of motion and pain, particularly during overhead movements.
4. What is a priority teaching point for a patient post-total hip
arthroplasty?
A. Avoid crossing your legs at the knees
B. Sleep only on the operated side
C. Limit fluid intake to prevent swelling
D. Use a low-seated chair to rest
Answer and Rationale:
A. Avoid crossing your legs at the knees
, Rationale: Crossing legs can lead to dislocation of the prosthetic
joint. Patients should also maintain precautions to prevent
excessive hip flexion or internal rotation.
5. A patient with Paget’s disease is prescribed calcitonin. What is
the purpose of this medication?
A. Increase bone density
B. Reduce bone resorption
C. Decrease inflammation in joints
D. Enhance calcium absorption
Answer and Rationale:
B. Reduce bone resorption
Rationale: Calcitonin inhibits osteoclast activity, reducing bone
resorption and managing Paget’s disease symptoms.
6. What is a common complication of long-term use of NSAIDs in
orthopedic conditions?
A. Kidney stones
B. Peptic ulcers
C. Liver failure
D. Hypokalemia
Answer and Rationale:
B. Peptic ulcers
