ATI LPN
ATI LPN Med Surg Level 2 Test Questions
Extract:
Question 1 of 5
Which of the following is a common symptom of osteomyelitis?
Correct Answer: B
Rationale: Fever is a common symptom of osteomyelitis due to the body's immune response to the bone infection.
Question 2 of 5
A nurse is collecting data from a client who has multiple fractures in his left leg and reports severe pain and tingling in the extremity. The nurse should suspect which of the following complications?
Correct Answer: D
Rationale: Acute compartment syndrome is characterized by increased pressure within a muscle compartment, leading to severe pain and tingling, consistent with the symptoms described.
Question 3 of 5
A patient experiences a fracture of the lower leg and undergoes a closed reduction and placement of a fiberglass cast. The patient is 65 years old and has a medical 30-year history of diabetes mellitus. Which condition does the nurse recognize as a possible complication for this patient?
Correct Answer: B
Rationale: Diabetes impairs healing processes, increasing the risk of delayed union or non-union.
Question 4 of 5
The nurse is assisting with the care of a patient with rheumatoid arthritis (RA). The nurse must remember in which way RA care is different from osteoarthritis care. What type of nursing care does the nurse specifically provide for the patient with RA?
Correct Answer: B
Rationale: RA is a systemic autoimmune disease that can affect multiple body systems, requiring comprehensive monitoring, unlike osteoarthritis, which is primarily a degenerative joint disease.
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 5 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.