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ORTHOPEDIC NURSING EXAM – FRACTURES,
TRACTION & JOINT REPLACEMENT 2026 JUST
RELEASED VERSION
SECTION I: FRACTURE ASSESSMENT & MANAGEMENT (1–20)
1. The most common signs of fracture include:
A. Pain, swelling, deformity, loss of function
B. Only bruising
C. Only fever
D. Observation only
Answer: A
Rationale: Classic fracture signs include pain, swelling,
deformity, and impaired function; these help guide initial
assessment.
2. Compartment syndrome is most often caused by:
A. Increased pressure within a closed muscle compartment
B. Infection only
C. Hypotension only
D. Observation only
Answer: A
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3. Early sign of compartment syndrome:
A. Pain out of proportion to injury, especially on passive stretch
B. Cyanosis only
C. Numbness only
D. Observation only
Answer: A
4. Nursing priority for suspected compartment syndrome:
A. Notify provider immediately; do not elevate limb above
heart; prepare for possible fasciotomy
B. Apply ice only
C. Observation only
D. Only pain medication
Answer: A
5. Nursing intervention for closed fracture:
A. Immobilize, assess neurovascular status, elevate limb, apply
ice, provide analgesia
B. Only elevate limb
C. Observation only
D. Only monitor vitals
Answer: A
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6. Open fracture care includes:
A. Cover with sterile dressing, avoid manipulation, administer
antibiotics, prepare for surgery
B. Only pain medication
C. Observation only
D. Only ice
Answer: A
7. Neurovascular assessment includes:
A. Circulation, motion, sensation (CMS) distal to injury
B. Only circulation
C. Only sensation
D. Observation only
Answer: A
8. Nursing intervention for fat embolism syndrome (FES):
A. Early immobilization, oxygen therapy, monitor respiratory
status, notify provider
B. Only fluids
C. Observation only
D. Only analgesia
Answer: A
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9. Common sites for FES:
A. Long bones (femur, tibia), pelvis
B. Only skull
C. Only fingers
D. Observation only
Answer: A
10. Traction is used to:
A. Reduce fracture, maintain alignment, relieve muscle spasm
B. Only for pain
C. Observation only
D. Only immobilization
Answer: A
11. Nursing care for skin traction:
A. Assess skin integrity, maintain correct weight, check
alignment, prevent pressure areas
B. Only apply traction
C. Observation only
D. Only elevate limb
Answer: A
ORTHOPEDIC NURSING EXAM – FRACTURES,
TRACTION & JOINT REPLACEMENT 2026 JUST
RELEASED VERSION
SECTION I: FRACTURE ASSESSMENT & MANAGEMENT (1–20)
1. The most common signs of fracture include:
A. Pain, swelling, deformity, loss of function
B. Only bruising
C. Only fever
D. Observation only
Answer: A
Rationale: Classic fracture signs include pain, swelling,
deformity, and impaired function; these help guide initial
assessment.
2. Compartment syndrome is most often caused by:
A. Increased pressure within a closed muscle compartment
B. Infection only
C. Hypotension only
D. Observation only
Answer: A
,2
3. Early sign of compartment syndrome:
A. Pain out of proportion to injury, especially on passive stretch
B. Cyanosis only
C. Numbness only
D. Observation only
Answer: A
4. Nursing priority for suspected compartment syndrome:
A. Notify provider immediately; do not elevate limb above
heart; prepare for possible fasciotomy
B. Apply ice only
C. Observation only
D. Only pain medication
Answer: A
5. Nursing intervention for closed fracture:
A. Immobilize, assess neurovascular status, elevate limb, apply
ice, provide analgesia
B. Only elevate limb
C. Observation only
D. Only monitor vitals
Answer: A
,3
6. Open fracture care includes:
A. Cover with sterile dressing, avoid manipulation, administer
antibiotics, prepare for surgery
B. Only pain medication
C. Observation only
D. Only ice
Answer: A
7. Neurovascular assessment includes:
A. Circulation, motion, sensation (CMS) distal to injury
B. Only circulation
C. Only sensation
D. Observation only
Answer: A
8. Nursing intervention for fat embolism syndrome (FES):
A. Early immobilization, oxygen therapy, monitor respiratory
status, notify provider
B. Only fluids
C. Observation only
D. Only analgesia
Answer: A
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9. Common sites for FES:
A. Long bones (femur, tibia), pelvis
B. Only skull
C. Only fingers
D. Observation only
Answer: A
10. Traction is used to:
A. Reduce fracture, maintain alignment, relieve muscle spasm
B. Only for pain
C. Observation only
D. Only immobilization
Answer: A
11. Nursing care for skin traction:
A. Assess skin integrity, maintain correct weight, check
alignment, prevent pressure areas
B. Only apply traction
C. Observation only
D. Only elevate limb
Answer: A
