ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 27 : Musculoskeletal Care Questions
Question 1 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 2 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.
Question 3 of 5
You are caring for a patient who had a partial knee replacement 2 days ago. She has orders for CPM for 2 hours four times per day at 35 degrees of flexion. Which would concern you the most?
Correct Answer: B
Rationale: Severe pain during CPM use suggests potential complications (e.g., improper settings or joint issues), requiring immediate assessment. Other options indicate proper use or management.
Question 4 of 5
A patient who has had a total knee replacement asks you to take off the CPM machine after 1 hour, although it is ordered to be on for 2 hours. How will you respond?
Correct Answer: A
Rationale: Explaining the importance of the full 2-hour CPM duration encourages compliance to improve joint mobility and recovery. Other options may undermine the treatment plan.
Question 5 of 5
A patient has a fresh plaster cast applied to the left leg from the thigh to the ankle. How will you prevent complications as the cast dries?
Correct Answer: A
Rationale: Elevating the leg and monitoring for swelling or neurovascular issues prevents complications like compartment syndrome. Heat, covering the cast, or weight-bearing could worsen outcomes.