ATI LPN
ATI LPN Med Surg Level 2 Test Questions
Extract:
Question 1 of 5
The nurse is collecting data on a patient with a left tibia fracture. Which of the following findings is a priority finding?
Correct Answer: D
Rationale: An absent pedal pulse indicates compromised circulation, a critical issue requiring urgent intervention.
Question 2 of 5
A nurse is taking care of a client with a displaced fracture. The nurse knows a displaced fracture is best described as?
Correct Answer: C
Rationale: A displaced fracture is characterized by misaligned bone ends, requiring reduction for proper healing.
Question 3 of 5
The nurse is providing care for a patient with an external fixation for a fracture involving severe bone damage. What is the priority of care?
Correct Answer: A
Rationale: Infection at the pin and wound sites is a major risk with external fixation and requires vigilant monitoring and care.
Extract:
Nurses Notes
Day 1 1100:
Client admitted from the emergency department after falling at home. Client reports pain in right hip and lower back. Alert and oriented to person, place, and time. Bilateral breath sounds are clear. Pedal pulses +2: skin is pink and warm to touch: movement and sensation intact to extremities. Reddened and ecchymotic areas noted on the middle to lower back and right hip. Slight edema to sacral and iliac region present.
Day 2 0945:
Client unable to void and bladder is distended. Indwelling urinary catheter inserted: draining dark, reddish-brown colored urine: edema to sacral and illac region 2+. Lower extremities cool to touch, pedal pulses 1+ bilaterally, capillary refill time 6 seconds
Diagnostic Results
1200:
CT scan of lower back, hip, and pelvis region shows hairline fractures to right hip and anterior pelvis.
Vital Signs:
Day 1 1200:
Temperature 36.4° C (97.5° F)
Heart rate 92/min
Respiratory rate 22/min
Blood pressure 146/85 mm Hg
Oxygen saturation 95%
Day 2 0945:
Temperature 37.2° C (98.9° F)
Heart rate 108/min
Respiratory rate 24/min
Blood pressure 154/78 mm Hg
Oxygen saturation 96%
Question 4 of 5
The nurse is caring for a client who has a hip and pelvis fracture. Select the 4 findings on Day 2 that require immediate follow-up.
Correct Answer: A,C,E,F
Rationale: Heart rate increase, worsening edema, dark reddish-brown urine, and diminished pedal pulses indicate potential complications requiring immediate attention.
Extract:
Question 5 of 5
A nurse is reinforcing teaching about placement of a prosthesis with a client who is having a below the knee amputation. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: Early prosthesis placement aids in quicker rehabilitation and earlier ambulation.