NURSING PN44 MS ATI EXAM TEST QUESTIONS WITH
ANSWERS GUARANTEED SUCCESS
CHAPTER 63
Musculoskeletal Trauma
1. A nurse is reinforcing teaching with a client about how to manage an external fixation device
upon discharge. Which of the following statements by the client indicates understanding? (Select
all that apply.)
A. “I will clean the pins more often if drainage from the pins increases.”
B. “I will use a separate cotton swab for each pin.”
C. “I will report loosening of the pins to my doctor.”
D. “I will move my leg by lifting the device in the middle.”
E. “I will report increased redness at the pin sites.”
Answer: “I will clean the pins more often if drainage from the pins increases.”
Clean the external fixation pins more frequently than prescribed if the amount of drainage
increases or infection is suspected.
“I will use a separate cotton swab for each pin.”
Using a separate cotton swab on each pin will decrease the risk of cross-contamination, which
could cause pin site infection.
“I will report loosening of the pins to my doctor.”
NURSING PN44 MS ATI EXAM TEST QUESTIONS WITH
ANSWERS GUARANTEED SUCCESS
,NURSING PN44 MS ATI EXAM TEST QUESTIONS WITH
ANSWERS GUARANTEED SUCCESS
Notify the provider if a pin is loose because the provider will know how much to tighten the pin
and prevent damage to the tissue and bone.
“I will report increased redness at the pin sites.”
The client should report redness, heat, and drainage at the pin sites, which can indicate an
infection that can lead to osteomyelitis.
The external fixation device should never be used to lift or move the affected leg, due to the risk
of injuring and dislocating the fractured bone.
2. A nurse is collecting data from a client who has a casted compound fracture of the
femur. Which of the following findings is a manifestation of a fat embolus?
A. Altered mental status.
B. Reduced bowel sounds.
C. Swelling of the toes distal to the injury.
D. Pain with passive movement of the foot distal to the injury.
Answer: Altered mental status.
Altered mental status is an early manifestation of fat emboli. Initial manifestations include
dyspnea, chest pain, and hypoxemia.
NURSING PN44 MS ATI EXAM TEST QUESTIONS WITH
ANSWERS GUARANTEED SUCCESS
,NURSING PN44 MS ATI EXAM TEST QUESTIONS WITH
ANSWERS GUARANTEED SUCCESS
Reduced bowel sounds is an adverse effect of opioid narcotics and can result in constipation.
Swelling of the toes distal to the injury is a manifestation of reduced circulation and can be the
result of a tight cast. Elevate the extremity and apply ice.
Pain with passive movement of the foot distal to the injury is an expected finding. Severe pain or
pain unrelieved by narcotics is a manifestation of compartment syndrome.
3. A nurse is collecting data from a client who had an external fixation device applied 2 hr
ago for a fracture of the left tibia and fibula. Which of the following findings is a
manifestation of compartment syndrome? (Select all that apply.)
A. Intense pain when the client’s left foot is passively moved.
B. Capillary refill of 3 sec on the client’s left toes.
C. Hard, swollen muscle in the client’s left leg.
D. Burning and tingling of the client’s left foot.
E. Client report of minimal pain relief following a second dose of opioid medication.
Answer: Intense pain when the client’s left foot is passively moved.
Intense pain of the left foot when passively moved can indicate pressure from edema on nerve
endings and is a manifestation of compartment syndrome.
Hard, swollen muscle in the client’s left leg.
A hard, swollen muscle on the affected extremity indicates edema build-up in the area of injury
NURSING PN44 MS ATI EXAM TEST QUESTIONS WITH
ANSWERS GUARANTEED SUCCESS
, NURSING PN44 MS ATI EXAM TEST QUESTIONS WITH
ANSWERS GUARANTEED SUCCESS
and is a manifestation of compartment syndrome.
Burning and tingling of the client’s left foot.
Burning and tingling of the left foot indicates pressure from edema on nerve endings and is an
early manifestation of compartment syndrome.
Client report of minimal pain relief following a second dose of opioid medication.
Minimal pain relief after receiving opioid medication can indicate pressure from edema on nerve
endings and is an early manifestation of compartment syndrome.
Capillary refill of 3 seconds is within the expected reference range. Pallor is a manifestation of
compartment syndrome.
4. A nurse is reinforcing discharge teaching to a client who had a wound debridement
for osteomyelitis. Which of the following information should the nurse reinforce?
A. Antibiotic therapy should continue for 3 months.
B. Relief of pain indicates the infection is eradicated.
C. Airborne precautions are used during wound care.
D. Expect paresthesia distal to the wound.
Answer: Antibiotic therapy should continue for 3 months.
Treatment of osteomyelitis includes continuing antibiotic therapy for 3 months.
NURSING PN44 MS ATI EXAM TEST QUESTIONS WITH
ANSWERS GUARANTEED SUCCESS
ANSWERS GUARANTEED SUCCESS
CHAPTER 63
Musculoskeletal Trauma
1. A nurse is reinforcing teaching with a client about how to manage an external fixation device
upon discharge. Which of the following statements by the client indicates understanding? (Select
all that apply.)
A. “I will clean the pins more often if drainage from the pins increases.”
B. “I will use a separate cotton swab for each pin.”
C. “I will report loosening of the pins to my doctor.”
D. “I will move my leg by lifting the device in the middle.”
E. “I will report increased redness at the pin sites.”
Answer: “I will clean the pins more often if drainage from the pins increases.”
Clean the external fixation pins more frequently than prescribed if the amount of drainage
increases or infection is suspected.
“I will use a separate cotton swab for each pin.”
Using a separate cotton swab on each pin will decrease the risk of cross-contamination, which
could cause pin site infection.
“I will report loosening of the pins to my doctor.”
NURSING PN44 MS ATI EXAM TEST QUESTIONS WITH
ANSWERS GUARANTEED SUCCESS
,NURSING PN44 MS ATI EXAM TEST QUESTIONS WITH
ANSWERS GUARANTEED SUCCESS
Notify the provider if a pin is loose because the provider will know how much to tighten the pin
and prevent damage to the tissue and bone.
“I will report increased redness at the pin sites.”
The client should report redness, heat, and drainage at the pin sites, which can indicate an
infection that can lead to osteomyelitis.
The external fixation device should never be used to lift or move the affected leg, due to the risk
of injuring and dislocating the fractured bone.
2. A nurse is collecting data from a client who has a casted compound fracture of the
femur. Which of the following findings is a manifestation of a fat embolus?
A. Altered mental status.
B. Reduced bowel sounds.
C. Swelling of the toes distal to the injury.
D. Pain with passive movement of the foot distal to the injury.
Answer: Altered mental status.
Altered mental status is an early manifestation of fat emboli. Initial manifestations include
dyspnea, chest pain, and hypoxemia.
NURSING PN44 MS ATI EXAM TEST QUESTIONS WITH
ANSWERS GUARANTEED SUCCESS
,NURSING PN44 MS ATI EXAM TEST QUESTIONS WITH
ANSWERS GUARANTEED SUCCESS
Reduced bowel sounds is an adverse effect of opioid narcotics and can result in constipation.
Swelling of the toes distal to the injury is a manifestation of reduced circulation and can be the
result of a tight cast. Elevate the extremity and apply ice.
Pain with passive movement of the foot distal to the injury is an expected finding. Severe pain or
pain unrelieved by narcotics is a manifestation of compartment syndrome.
3. A nurse is collecting data from a client who had an external fixation device applied 2 hr
ago for a fracture of the left tibia and fibula. Which of the following findings is a
manifestation of compartment syndrome? (Select all that apply.)
A. Intense pain when the client’s left foot is passively moved.
B. Capillary refill of 3 sec on the client’s left toes.
C. Hard, swollen muscle in the client’s left leg.
D. Burning and tingling of the client’s left foot.
E. Client report of minimal pain relief following a second dose of opioid medication.
Answer: Intense pain when the client’s left foot is passively moved.
Intense pain of the left foot when passively moved can indicate pressure from edema on nerve
endings and is a manifestation of compartment syndrome.
Hard, swollen muscle in the client’s left leg.
A hard, swollen muscle on the affected extremity indicates edema build-up in the area of injury
NURSING PN44 MS ATI EXAM TEST QUESTIONS WITH
ANSWERS GUARANTEED SUCCESS
, NURSING PN44 MS ATI EXAM TEST QUESTIONS WITH
ANSWERS GUARANTEED SUCCESS
and is a manifestation of compartment syndrome.
Burning and tingling of the client’s left foot.
Burning and tingling of the left foot indicates pressure from edema on nerve endings and is an
early manifestation of compartment syndrome.
Client report of minimal pain relief following a second dose of opioid medication.
Minimal pain relief after receiving opioid medication can indicate pressure from edema on nerve
endings and is an early manifestation of compartment syndrome.
Capillary refill of 3 seconds is within the expected reference range. Pallor is a manifestation of
compartment syndrome.
4. A nurse is reinforcing discharge teaching to a client who had a wound debridement
for osteomyelitis. Which of the following information should the nurse reinforce?
A. Antibiotic therapy should continue for 3 months.
B. Relief of pain indicates the infection is eradicated.
C. Airborne precautions are used during wound care.
D. Expect paresthesia distal to the wound.
Answer: Antibiotic therapy should continue for 3 months.
Treatment of osteomyelitis includes continuing antibiotic therapy for 3 months.
NURSING PN44 MS ATI EXAM TEST QUESTIONS WITH
ANSWERS GUARANTEED SUCCESS
