ORTHOPEDIC NURSE CERTIFICATION EXAM
OFFICIAL EXAM VERSION WITH REAL EXAM
QUESTIONS AND VERIFIED ANSWERS
1. Which of the following is a biological factor that predisposes a patient to a fracture?
A) Participation in adrenaline-seeking activities
B) The angle of force applied to the bone
C) The type of bone involved
D) The duration of the force applied
Answer ✔✔: C) The type of bone involved
2. A patient is discharged with a new cast. Which nursing instruction is most critical to
prevent complications?
A) "You may use a coat hanger to scratch inside the cast if the itching is severe."
B) "Keep the cast dry and never insert anything underneath it."
C) "It is normal for the pain to increase steadily over the first 24 hours."
D) "A loose cast is preferable as it allows for swelling."
Answer ✔✔: B) "Keep the cast dry and never insert anything underneath it."
3. What are the two main components of a long bone?
A) Compact bone and spongy bone
B) The periosteum and the marrow
C) The diaphysis and the epiphyses
D) The cortical and cancellous layers
Answer ✔✔: C) The diaphysis and the epiphyses
4. A patient sustains a fracture from a gunshot wound. This is best classified as which type
of fracture?
A) Crush fracture
B) Tapping fracture
C) Compression fracture
D) Penetrating fracture
Answer ✔✔: D) Penetrating fracture
5. Which factor typically improves the prognosis for fracture healing?
A) A fracture involving a joint surface
B) An immature skeleton
C) A multi-bone fracture
D) Significant displacement of bone fragments
Answer ✔✔: B) An immature skeleton
, 6. A fracture line that travels at an angle through the bone is described as:
A) Linear
B) Transverse
C) Oblique
D) Comminuted
Answer ✔✔: C) Oblique
7. A construction worker has a heavy suspended mass fall on his foot, resulting in multiple
break lines and severe soft tissue damage. This injury is best described as a:
A) Stress fracture
B) Compression fracture
C) Crush fracture
D) Greenstick fracture
Answer ✔✔: C) Crush fracture
8. When comparing plaster of Paris to fiberglass casting, what is a primary advantage of
fiberglass?
A) It is significantly cheaper.
B) It has a much shorter drying time.
C) It molds to contours better than plaster.
D) It is less abrasive on the skin.
Answer ✔✔: B) It has a much shorter drying time.
9. The carpals in the wrist are examples of which type of bone?
A) Long bones
B) Short bones
C) Flat bones
D) Irregular bones
Answer ✔✔: B) Short bones
10. A spiraling fracture line in a child's tibia should raise suspicion for:
A) A genetic bone disorder
B) Osteosarcoma
C) Abuse
D) Osteoporosis
Answer ✔✔: C) Abuse
11. What is the defining characteristic of a subluxation?
A) A complete break in the continuity of a bone
B) A complete disruption where joint surfaces no longer make contact
C) An incomplete dislocation where joint surfaces still have partial contact
OFFICIAL EXAM VERSION WITH REAL EXAM
QUESTIONS AND VERIFIED ANSWERS
1. Which of the following is a biological factor that predisposes a patient to a fracture?
A) Participation in adrenaline-seeking activities
B) The angle of force applied to the bone
C) The type of bone involved
D) The duration of the force applied
Answer ✔✔: C) The type of bone involved
2. A patient is discharged with a new cast. Which nursing instruction is most critical to
prevent complications?
A) "You may use a coat hanger to scratch inside the cast if the itching is severe."
B) "Keep the cast dry and never insert anything underneath it."
C) "It is normal for the pain to increase steadily over the first 24 hours."
D) "A loose cast is preferable as it allows for swelling."
Answer ✔✔: B) "Keep the cast dry and never insert anything underneath it."
3. What are the two main components of a long bone?
A) Compact bone and spongy bone
B) The periosteum and the marrow
C) The diaphysis and the epiphyses
D) The cortical and cancellous layers
Answer ✔✔: C) The diaphysis and the epiphyses
4. A patient sustains a fracture from a gunshot wound. This is best classified as which type
of fracture?
A) Crush fracture
B) Tapping fracture
C) Compression fracture
D) Penetrating fracture
Answer ✔✔: D) Penetrating fracture
5. Which factor typically improves the prognosis for fracture healing?
A) A fracture involving a joint surface
B) An immature skeleton
C) A multi-bone fracture
D) Significant displacement of bone fragments
Answer ✔✔: B) An immature skeleton
, 6. A fracture line that travels at an angle through the bone is described as:
A) Linear
B) Transverse
C) Oblique
D) Comminuted
Answer ✔✔: C) Oblique
7. A construction worker has a heavy suspended mass fall on his foot, resulting in multiple
break lines and severe soft tissue damage. This injury is best described as a:
A) Stress fracture
B) Compression fracture
C) Crush fracture
D) Greenstick fracture
Answer ✔✔: C) Crush fracture
8. When comparing plaster of Paris to fiberglass casting, what is a primary advantage of
fiberglass?
A) It is significantly cheaper.
B) It has a much shorter drying time.
C) It molds to contours better than plaster.
D) It is less abrasive on the skin.
Answer ✔✔: B) It has a much shorter drying time.
9. The carpals in the wrist are examples of which type of bone?
A) Long bones
B) Short bones
C) Flat bones
D) Irregular bones
Answer ✔✔: B) Short bones
10. A spiraling fracture line in a child's tibia should raise suspicion for:
A) A genetic bone disorder
B) Osteosarcoma
C) Abuse
D) Osteoporosis
Answer ✔✔: C) Abuse
11. What is the defining characteristic of a subluxation?
A) A complete break in the continuity of a bone
B) A complete disruption where joint surfaces no longer make contact
C) An incomplete dislocation where joint surfaces still have partial contact
