1. What is a common complication of long-term rheumatoid
arthritis?
A. Joint deformities
B. Kidney failure
C. Vision loss
D. Skin ulcers
Answer and Rationale:
A. Joint deformities
Rationale: Chronic inflammation in rheumatoid arthritis leads to
joint destruction and deformities over time.
2. Which clinical manifestation suggests developmental dysplasia
of the hip (DDH) in an infant?
A. Positive Ortolani or Barlow test
B. Asymmetric Moro reflex
C. Bowlegs when walking
D. Delayed walking milestones
Answer and Rationale:
A. Positive Ortolani or Barlow test
,Rationale: These tests assess hip stability and are key indicators of
DDH in infants.
3. 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
Rationale: Reinforcing the dressing prevents further
contamination and maintains sterility. The provider should then
be notified.
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 osteoporosis is prescribed bisphosphonates.
What instruction should the nurse include?
A. Take the medication with milk or food
B. Lie down immediately after taking it
C. Take it first thing in the morning with water
D. Limit physical activity for one hour after taking it
Answer and Rationale:
C. Take it first thing in the morning with water
Rationale: Bisphosphonates should be taken on an empty stomach
with water, and the patient should remain upright for 30 minutes
to prevent esophageal irritation.
6. What is the initial action when assessing for deep vein
thrombosis in an orthopedic patient?
A. Check for Homan's sign
B. Assess calf circumference and compare bilaterally
C. Palpate for pedal pulses
D. Evaluate range of motion in the affected limb
Answer and Rationale:
arthritis?
A. Joint deformities
B. Kidney failure
C. Vision loss
D. Skin ulcers
Answer and Rationale:
A. Joint deformities
Rationale: Chronic inflammation in rheumatoid arthritis leads to
joint destruction and deformities over time.
2. Which clinical manifestation suggests developmental dysplasia
of the hip (DDH) in an infant?
A. Positive Ortolani or Barlow test
B. Asymmetric Moro reflex
C. Bowlegs when walking
D. Delayed walking milestones
Answer and Rationale:
A. Positive Ortolani or Barlow test
,Rationale: These tests assess hip stability and are key indicators of
DDH in infants.
3. 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
Rationale: Reinforcing the dressing prevents further
contamination and maintains sterility. The provider should then
be notified.
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 osteoporosis is prescribed bisphosphonates.
What instruction should the nurse include?
A. Take the medication with milk or food
B. Lie down immediately after taking it
C. Take it first thing in the morning with water
D. Limit physical activity for one hour after taking it
Answer and Rationale:
C. Take it first thing in the morning with water
Rationale: Bisphosphonates should be taken on an empty stomach
with water, and the patient should remain upright for 30 minutes
to prevent esophageal irritation.
6. What is the initial action when assessing for deep vein
thrombosis in an orthopedic patient?
A. Check for Homan's sign
B. Assess calf circumference and compare bilaterally
C. Palpate for pedal pulses
D. Evaluate range of motion in the affected limb
Answer and Rationale:
