hip fx

Question 1

Which hip fracture is:
-Not aligned

A. Comminuted
B. Displaced
C. Non- displaced
D. Impacted

Answer 1

B

Question 2

Which hip fracture is:
-Shattered into fragments

A. Comminuted
B. Displaced
C. Non- displaced
D. Impacted

Answer 2

A

Question 3

Which hip fracture is:
-In alignment

A. Comminuted
B. Displaced
C. Non- displaced
D. Impacted

Answer 3

C

Question 4

Which hip fracture is:
-Wedged together

A. Comminuted
B. Displaced
C. Non- displaced
D. Impacted

Answer 4

D

Question 5

The femoral head & neck are:

A. Intracapsular
B. Extracapsular

Answer 5

A

Question 6

The Intertrochanteric & Subtrochanteric are:

A. Intracapsular
B. Extracapsular

Answer 6

B

Question 7

Which patients are at the biggest risk for a hip fracture? (select all)

A. Betty, 86yr old with dementia and is inside 24/7
B. Louise, recently postmenopausal and scheduled for a DEXA scan
C. Sherry,46 premenopausal with adequate levels of vit. D
D. Margaret, 36yr old with endometriosis

Answer 7

A
B

Question 8

What is the classic sign of a hip fracture?

A. Adducted and shortened
B. 90 degrees abducted and normal length
C. Abducted and shortened
D. 10/10 pain & spasms

Answer 8

C

Question 9

How can the nurse explain avascular necrosis?

A. Death of the tissue surrounding hip replacement
B. Lack of blood flow to the vessels and bone
C. Ascending necrosis starting from incision site
D. Necrosis due to underlying infection

Answer 9

B

Question 10

What is it called when:
-The bone does not line up

A. Malunion
B. Non-union

Answer 10

B

Question 11

What is it called when:
-Plates & screws are used instead of entire replacement

A. Malunion
B. Non-union

Answer 11

A

Question 12

Which pt is showing s/s of rejection of the replacement?

A. Protruding hip bone & avascular necrosis
B. Sudden loss of consciousness, tachycardia, hypertension
C. Red streaks ascending & descending from the hip
D. Swelling, fever, pain and erythema

Answer 12

D

Question 13

Label these diagnostics in order of how they would be ordered for a pt with a hidden fracture:

A. CT
B. MRI
C. X-ray

Answer 13

C
A
B

Question 14

The pre-op nurse knows she needs to complete what tasks for her pt awaiting a hip replacement? (select all)

A. Blood type & cross
B. Neurovascular checks
C. Administer clopidogrel
D. bath area with iodine
E. Administer prophylactic antibiotics

Answer 14

B
E

Question 15

Which surgical procedure is a:
-Total hip replacement

A. Arthroplasty
B. ORIF
C. Hemiarthroplasty
D. Hipplerplasty

Answer 15

A

Question 16

Which surgical procedure is a:
-Open or closed reduction of the fracture and internal fixation

A. Arthroplasty
B. ORIF
C. Hemiarthroplasty
D. Hipplerplasty

Answer 16

B

Question 17

Which surgical procedure is a:
-Replacement of the femoral head with prosthesis

A. Arthroplasty
B. ORIF
C. Hemiarthroplasty
D. Hipplerplasty

Answer 17

C

Question 18

What is replaced in a total hip arthroplasty? (select all)

A. Femoral head
B. Femoral leg
C. Acetabular cup
D. Synovial fluid

Answer 18

A
C

Question 19

What is replaced in a hemi arthroplasty?

A. Femoral head
B. Femoral leg
C. Acetabular cup
D. Synovial fluid

Answer 19

A

Question 20

Where would the fracture occur in a pt with a hx of total hip arthroplasty?

A. Femoral head
B. Above the previous break
C. Below the replacement

Answer 20

C

Question 21

Is it possible to dislocate the hip after a total hip arthroplasty?

A. Yes
B. No

Answer 21

A

Question 22

Why is ORIF preferred when possible?
(select all)

A. Stronger healing due to tightening
B. Early mobility
C. Weight bearing 6-8 weeks post-op
D. Longer, but more cost effective and less waste

Answer 22

B
C

Question 23

What is 1 major complication from ORIF?

A. Rhabdomyolysis
B. DVT’s
C. Pulmonary hypertension
D. Nail goes through and/or fractures femoral head

Answer 23

D

Question 24

What are the 6 P’s for neurovascular assessment?

Answer 24

1. Pain
2. Paresthesia
3. Paralysis
4. Pallor
5. Pulselessness
6. Pressure

Question 25

What does the nurse need to document after assessing the surgical hip fracture site? (select all) A. COCA B. Length in inches or centimeters C. Drainage output D. What ointment she applied

Answer 25

A C

Question 26

What medications would the nurse by administering to her pt post - hip replacement? (select all) A. Anticoagulants B. Statins for muscle pain C. Opioids or PCA pumps D. Anti-inflammatories E. Antibiotics

Answer 26

A C D E

Question 27

What additional meds would the nurse be administering to her pt post - hip replacement? A. Antipyretics B. Diuretics C. Bone density enhancers D. Stool softeners

Answer 27

C

Question 28

Which statements by the pt show understanding of their nutrition after a hip replacement? (select all) A. I should increase my carb intake, so I have enough energy to get through PT/OT B. I need to increase my protein, calcium, and fiber intake C. I should drink less water so I don't go to the bathroom too much D. I need to increase my water intake

Answer 28

B D

Question 29

Which 2 patients are at the greatest risk for refracturing after replacement? A. Bobby, 2 weeks post-op B. Charlie, 1 week post op C. Harry, 10 weeks post-op D. Frank, 8 weeks post-op

Answer 29

A D 2 - 8 weeks

Question 30

How can the nurse prevent dislocation of prosthesis after replacement? (select all) A. No hip flexion of >90 degrees B. Provide passive & active ROM Qshift C. Instruct not to cross legs or turn toes inward D. Maintain abduction with pillow device

Answer 30

A C D

Question 31

What does the nurse need to monitor for post replacement? (select all) A. Shortening B. Severe pain C. Internal rotation D. Inability to move E. External rotation

Answer 31

A B D E

Question 32

What post - op NSG interventions are appropriate? A. Check under client for drainage B. Maintain leg abduction C. Promote rest and cluster care D. Incentive spirometer E. Compression devices

Answer 32

A B D E