A patient is diagnosed with osteoid osteoma. The nurse should be able to confirm this is a benign tumor that
a. requires wide excision in 90% of affected patients.
b. causes night pain that can be relieved by aspirin.
c. usually develops into a large osteoblastic lesion.
d. occurs most often in...
ONC Practice Exam with Complete Rationale
A patient is diagnosed with osteoid osteoma. The
nurse should be able to confirm this is a benign
tumor that
a. requires wide excision in 90% of affected
patients.
b. causes night pain that can be relieved by aspirin.
c. usually develops into a large osteoblastic lesion.
d. occurs most often in the spine and femur. ✔️✔️
b. causes night pain that can be relieved by aspirin.
Rationale: As a primary benign tumor, osteoid
osteoma is characterized by night pain often
relieved by aspirin or NSAIDs.
Reference: Core Curriculum for Orthopaedic
Nursing (7th ed.), 2013, p. 425
While discussing the treatment plan for an
adolescent with a malignancy of the distal femur,
,the nurse should explain to the family that the most
common malignant bone tumor in children and
adolescents is
a. osteoblastoma.
b. chondrosarcoma.
c. osteosarcoma.
d. osteochondroma ✔️✔️c. osteosarcoma.
Rationale: Osteosarcoma is the most common
primary malignant bone tumor in children, with
occurrence greater in boys than girls.
Reference: Core Curriculum for Orthopaedic
Nursing (7th ed.), 2013, p. 430
A patient is diagnosed with slipped capital femoral
epiphysis (SCFE). The nurse should recognize the
patient is at higher than normal risk of developing
a. progressive deformity.
b. severe growth failure.
,c. joint contracture.
d. secondary osteoarthritis. ✔️✔️d. secondary
osteoarthritis.
Rationale: The patient with SCFE is at risk for
developing secondary osteoarthritis related to
chondrolysis, AVN, or deformity from SCFE. The
other conditions are not considerations with SCFE.
Reference: Core Curriculum for Orthopaedic
Nursing (7th ed.), 2013, p. 314
A 12-year-old cross-country runner has been
diagnosed with Osgood-Schlatter disease. While
reviewing the overall treatment plan with the
patient and family, the nurse should include
information about which of the following?
a. Symptoms will stop by the end of skeletal growth.
b. Long-term damage to the knee can result if
inflammation persists.
, c. Pain may be relieved by flexion exercises.
d. Surgery will offer the best hope of symptom
relief. ✔️✔️a. Symptoms will stop by the end of
skeletal growth.
Rationale: Osgood-Schlatter disease is a self-limiting
condition of pre-adolescence; symptoms stop when
apophysis is fully ossified.
Reference: Core Curriculum for Orthopaedic
Nursing (7th ed.), 2013, p. 302
The nurse is providing pre-operative teaching to a
patient scheduled for an open reduction-internal
fixation (ORIF) of the femur. Which of the following
biologic implants should the nurse recognize is used
to fill in bony defects?
a. Cannulated screw
b. Cortical strut
c. Polypropylene cup
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