ATI LPN
Foundations and Adult Health Nursing Test Bank
Chapter 44 Questions
Question 1 of 5
When the patient with rheumatoid arthritis reports not liking daily exercise, the nurse encouragingly reminds the patient that exercise has which benefit?
Correct Answer: A
Rationale: Daily gentle exercises keep the joints from 'freezing' and keep the muscles from weakening. Exercise does not ensure better sleep. Joint exercises should not be performed vigorously. The patient benefits when gently exercises are performed daily.
Question 2 of 5
Which action should the nurse take when a patient with osteomyelitis of the right forearm is admitted with an open wound that is draining?
Correct Answer: B
Rationale: The patient with osteomyelitis should be at least in drainage and secretion precaution. The limb should be positioned for maximum comfort and left at rest. These patients are usually on bed rest and require a high-calorie, high-protein diet.
Question 3 of 5
The 14-year-old boy who is scheduled for left leg amputation says to the nurse, 'What in the world am I going to do with only one leg?' Which is the nurse's therapeutic response?
Correct Answer: A
Rationale: The patient's concern should be acknowledged and the patient encouraged to express feelings. Telling the patient he will be as good as new is false reassurance and does not further encourage the patient to express feelings. The patient IS concerned about having to deal with one leg; telling the patient it is way too early to be concerned is inappropriate and nontherapeutic. The nurse is changing the subject when talking about the brother who also had his leg removed.
Question 4 of 5
A patient had an open reduction with internal fixation (ORIF) for a compound fracture of the left tibia and has been placed in a long leg cast. The findings by the nurse are: left foot warm/pink, pedal pulse weaker than right, capillary refill 3 seconds, and small $1 \mathrm{~cm}$ area of blood on cast. Which action will the nurse take?
Correct Answer: B
Rationale: All of the findings are within normal limits. A small amount of blood on the cast is expected and should be monitored. There is no evidence of impending compartment syndrome or hemorrhage. Warm compresses are not necessary, and could cause swelling to develop.
Question 5 of 5
A patient, age 68, has experienced an intertrochanteric fracture of the right hip. Before surgery, to provide support and comfort, an immobilizing device of which type is applied?
Correct Answer: D
Rationale: Buck traction is a form of traction used as a temporary measure to provide support and comfort to a fractured extremity until a more definite treatment is initiated. A Thomas ring, Bryant's traction and Russel traction are not used to stabilize a hip fracture.