ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 27 : Musculoskeletal Care Questions
Question 1 of 5
A patient has had reconstructive surgery on her right foot and must be non-weight-bearing for 6 to 8 weeks. She has problems with balance at times. Which device(s) would be most helpful to her during this period?
Correct Answer: A,C
Rationale: A knee walker or wheeled walker supports non-weight-bearing mobility and balance. Crutches are less stable for patients with balance issues.
Question 2 of 5
When using a walker, where should the patient stand? What is the reason for this?
Correct Answer: A
Rationale: The patient stands inside the walker frame to ensure stability and support, reducing the risk of falling by keeping the body centered within the walker's base.
Question 3 of 5
A patient comes into the clinic where you are working for a follow-up visit after breaking her ankle. She has been using crutches for the past 2 weeks and is complaining of pain and tingling in her forearms and hands. What is the most likely cause of these symptoms?
Correct Answer: A
Rationale: Pain and tingling in the forearms and hands are likely due to poor crutch fit, causing pressure on nerves (e.g., radial or ulnar nerve compression). Muscle strain, infection, or circulation issues are less likely causes.
Question 4 of 5
What is the difference in recovery of a patient who has had a direct anterior approach hip arthroplasty and one who has had a lateral approach hip arthroplasty?
Correct Answer: A
Rationale: The direct anterior approach involves less muscle disruption, leading to faster recovery and fewer movement restrictions compared to the lateral approach, which involves more muscle cutting.
Question 5 of 5
You see the following orders for a patient with a newly applied cast to the right arm after a surgery to the humerus. Which order would you question as to its accuracy?
Correct Answer: C
Rationale: Keeping the arm elevated at all times is impractical and could cause discomfort or complications. Other orders are standard for cast care.