1. 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
Rationale: Prolonged NSAID use can cause gastric irritation,
leading to peptic ulcers.
2. Which laboratory test is most important to monitor in a patient
receiving long-term corticosteroid therapy for rheumatoid
arthritis?
A. Complete blood count (CBC)
B. Blood glucose levels
C. Serum calcium levels
D. Liver function tests
Answer and Rationale:
B. Blood glucose levels
,Rationale: Long-term corticosteroid therapy can cause
hyperglycemia, making regular monitoring essential.
3. What is the most common sign of a fat embolism in a patient
with a long bone fracture?
A. Chest pain and dyspnea
B. Petechiae on the chest and axillae
C. Hypotension and bradycardia
D. Numbness and tingling in the extremities
Answer and Rationale:
B. Petechiae on the chest and axillae
Rationale: Fat embolism syndrome is characterized by the
appearance of petechial rash, respiratory symptoms, and
neurological changes.
4. A nurse is caring for a patient with kyphosis. What is the
primary nursing focus?
A. Improving lung expansion
B. Enhancing flexibility with exercises
C. Monitoring for nerve compression symptoms
D. Managing chronic pain
Answer and Rationale:
A. Improving lung expansion
, Rationale: Severe kyphosis can impair lung capacity, so promoting
proper breathing is essential.
5. Which activity is contraindicated for a patient with severe
osteoporosis?
A. Walking
B. Lifting light weights
C. Swimming
D. High-impact aerobics
Answer and Rationale:
D. High-impact aerobics
Rationale: High-impact activities increase the risk of fractures in
patients with osteoporosis due to weakened bones.
6. A nurse notes drainage on a post-op orthopedic patient's
dressing. What should be the initial action?
A. Reinforce the dressing
B. Remove the dressing and inspect the wound
C. Notify the healthcare provider
D. Document the findings and monitor for further drainage
Answer and Rationale:
A. Reinforce the dressing
orthopedic conditions?
A. Kidney stones
B. Peptic ulcers
C. Liver failure
D. Hypokalemia
Answer and Rationale:
B. Peptic ulcers
Rationale: Prolonged NSAID use can cause gastric irritation,
leading to peptic ulcers.
2. Which laboratory test is most important to monitor in a patient
receiving long-term corticosteroid therapy for rheumatoid
arthritis?
A. Complete blood count (CBC)
B. Blood glucose levels
C. Serum calcium levels
D. Liver function tests
Answer and Rationale:
B. Blood glucose levels
,Rationale: Long-term corticosteroid therapy can cause
hyperglycemia, making regular monitoring essential.
3. What is the most common sign of a fat embolism in a patient
with a long bone fracture?
A. Chest pain and dyspnea
B. Petechiae on the chest and axillae
C. Hypotension and bradycardia
D. Numbness and tingling in the extremities
Answer and Rationale:
B. Petechiae on the chest and axillae
Rationale: Fat embolism syndrome is characterized by the
appearance of petechial rash, respiratory symptoms, and
neurological changes.
4. A nurse is caring for a patient with kyphosis. What is the
primary nursing focus?
A. Improving lung expansion
B. Enhancing flexibility with exercises
C. Monitoring for nerve compression symptoms
D. Managing chronic pain
Answer and Rationale:
A. Improving lung expansion
, Rationale: Severe kyphosis can impair lung capacity, so promoting
proper breathing is essential.
5. Which activity is contraindicated for a patient with severe
osteoporosis?
A. Walking
B. Lifting light weights
C. Swimming
D. High-impact aerobics
Answer and Rationale:
D. High-impact aerobics
Rationale: High-impact activities increase the risk of fractures in
patients with osteoporosis due to weakened bones.
6. A nurse notes drainage on a post-op orthopedic patient's
dressing. What should be the initial action?
A. Reinforce the dressing
B. Remove the dressing and inspect the wound
C. Notify the healthcare provider
D. Document the findings and monitor for further drainage
Answer and Rationale:
A. Reinforce the dressing
