ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 27 : Musculoskeletal Care Questions
Question 1 of 5
A patient has skeletal traction applied to his left lower leg. Why is pin site care critical for this patient?
Correct Answer: A
Rationale: Pin site care is critical to prevent infection, as pins penetrate skin and bone, creating an infection risk. Other options are not directly related to pin site care.
Question 2 of 5
A patient is in skin traction. You notice that when the bed is lowered to its lowest position, the weights are on the floor. Why is this a problem?
Correct Answer: A
Rationale: Weights on the floor eliminate the pulling force needed for traction, reducing its effectiveness in aligning the bone or relieving muscle spasms.
Question 3 of 5
When you care for a patient prior to surgery, one of your primary concerns is
Correct Answer: B
Rationale: Ensuring preoperative orders are followed is critical to prepare the patient safely for surgery. Researching surgery details, showing family waiting areas, or explaining techniques are not primary nursing responsibilities.
Question 4 of 5
When you care for a patient after a partial or total joint replacement, a major nursing focus will be
Correct Answer: C,D
Rationale: Post-joint replacement care focuses on managing pain, promoting mobility, and preventing complications like blood clots or infections due to immobility. Lifestyle teaching and family screening are secondary.
Question 5 of 5
A patient came to the ER complaining of pain in her elbow after a fall. The x-ray shows fractured ulna at the olecranon process. There is also a suspected fracture of the radius. Which diagnostic test would be most helpful in determining a complete diagnosis?
Correct Answer: A
Rationale: A CT scan provides detailed imaging of bones, making it ideal for confirming suspected fractures like the radius fracture. MRI is better for soft tissue, bone scans for bone activity, and electromyelograms assess nerve function.