ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 27 : Musculoskeletal Care Questions
Question 1 of 5
Who is responsible for carrying out ambulation orders for patients?
Correct Answer: C
Rationale: Ambulation orders are executed by both nursing staff (including assistants) and physical therapy staff, collaborating to promote mobility.
Question 2 of 5
A type of external fixator composed of metal rings on the outside of the limb with rods and wires attached that penetrate through the skin into the bone is a(n)
Correct Answer: D
Rationale: An Ilizarov frame is an external fixator with metal rings, rods, and wires penetrating the bone to stabilize fractures. Other options describe different devices.
Question 3 of 5
You are caring for a young child with hip dysplasia who is in a spica cast. An important nursing concern is
Correct Answer: B
Rationale: In a spica cast, the abductor bar maintains hip alignment and should not be used to move the patient, as this could disrupt the cast or alignment. Circulation is assessed in the toes, not fingers.
Question 4 of 5
A patient is admitted with an elevated temperature and complaining of pain under his arm cast. A bad odor is noted coming from the elbow area of the cast. The patient tells you that his arm has been itching a great deal under the cast. What concern do you have?
Correct Answer: A
Rationale: Fever, pain, odor, and itching suggest a possible infection under the cast, likely from skin damage. Gangrene is less likely without systemic symptoms, and bone healing issues don't cause odor.
Question 5 of 5
What patient teaching will you do for the patient described in Question 29?
Correct Answer: B
Rationale: Using a blow dryer on cool air safely relieves itching under a cast. Scratching with objects risks skin damage, hot air could cause burns, and explaining cell buildup is not actionable teaching.