Tiêu đề WORKBOOK - ORTHO (KEY) ✅

COMPREHENSIVE PHASE WORKBOOK ORTHOLOGIC NURSING NOVEMBER 2025 Philippine Nurse Licensure Examination Review SITUATION: Rogelio is a long jump athlete. However, after a long jump, he suddenly slipped forward fracturing his right arm. 1. To immobilize the affected part, a plaster cast was applieD. How should a wet cast be handled? I. Handle it using fingers or toes II. Never insert needle inside of the cast III. Handle it only with the palm of the hand IV. Drying time of 15 minutes V. Get a dry towel and cover the whole cast VI. Monitor for signs of infection like “hot spots” VII.Light scratching of skin inside the cast to lessen itching allowed A. 3 and 4 only B. 3, 4 and 6 C. 1, 5, and 7 D. 3 only 2. You are currently monitoring Rogelio after an arm cast has been applieD. Which of the following is most important to assess? A. Check the cast for soft spots B. Check the temperature of the body C. Check the skin temperature below the cast D. Turn him every 2 hours and support the cast 3. Which patient behavior shows that Rogelio learned cast care incorrectly? I. “Cover the cast with a blanket until the cast dries.” II. “Keep your right leg above the heart level initially.” III. “Use a knitting needle to scratch inches inside the cast.” IV. “A foul smelling from the cast is normal.” A. 1 and 3 only B. Except 2 C. 1 and 4 only D. 2 only 4. Which of the following is not an INAPPROPRIATE nursing action when caring with an arm cast? I. Support newly casted extremity with the palms of the hand II. Keep the casted extremity dependent on the mattress III. Promote dryness of the cast by exposing the casted extremity IV. Do neurovascular assessment on the affected extremity A. 2 only B. All are correct C. 1, 3 and 4 D. 3 and 4 5. Because of Rogelio’s arm cast, Nurse Fiona monitors for signs of poor blood circulation in the extremity. She looks for: A. Foul odor B. “Hot spots” C. Poikilothermia D. Increased temperature 6. Nurse Fiona monitors Rogelio’s cast after a day. Which of the following signs would lead her to suspect an infection? I. Coolness and pallor of the extremity II. Presence of "hot shots" on the cast III. Diminished distal pulse IV. Foul smelling odor A. 1, 2 and 4 B. Except 1,2 and 3 C. 2 and 4 D. 2 and 3 7. Which of the following necessitates bivalving the cast or excising the fascia? A. Pulselessness B. Pain C. Pallor D. None of the above 8. Rogelio has undergone fasciotomy immediately. The nurse prepares to provide which type of wound care of the fasciotomy site? A. Dry sterile dressings B. Moist sterile saline dressings C. Hydrocolloid dressings D. 1⁄2 strength betadine dressings SITUATION: You are currently a nurse in an orthopedic ward. 9. Lia, age 4, has a fractured femur and is in Bryant’s traction. To evaluate correct application of the traction the nurse should note that: A. Lia’s sacrum is prone for pressure ulcer B. Lia’s buttocks are raised slightly C. Lia’s leg is at 45° angle to the bed D. Lia can move the unaffected leg freely I. It temporarily immobilizes the fracture II. It decreases muscle spasticity III. It promotes realignment IV. It uses a knee sling to maintain leg position A. 1, 2 and 3 B. 1 and 4 C. 2, 3 and 4 D. 4 only 10. Because the client is in traction and is immobile, she is assigned a nursing diagnosis of potential constipation related to limited mobility. Which nursing measure would be LEAST EFFECTIVE for the diagnosis? A. Forcing fluids (3L or more daily) B. Ordering prune juice daily C. Changing the patient's position every 2 hours D. Encouraging the patient to eat high fiber foods 11. Nurse Valerie is performing pin site care on a client in Ilizarov fixator. Which finding would the nurse not expect to be NORMAL when assessing the pin sites? I. Redness and swelling around the pin sites II. Loose pin site III. Purulent drainage from the pin sites IV. Serosanguinous drainage from the pin sites A. 1 and 3 B. 3 and 4 C. 4 only D. 1, 2 and 3 12. Lucia is a swimming coach. While observing swimmers in the pool, she suddenly slipped causing a fractured femur. Which nursing intervention has the highest priority? A. Assessing the extremity for neurovascular integrity B. Keeping the client from sliding to the foot of the bed TOP RANK REVIEW ACADEMY, INC. Page 1 | 4