ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 27 : Musculoskeletal Care Questions
Question 1 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 2 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 3 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.
Question 4 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 5 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.