RN ADULT MRD SURG ATI FINAL PROCTORED EXAM
(2024/2025 UPDATE) |VERIFIED 100%
1. A nurse is caring for a client who has a fractured hip and was placed in
Buck's traction 4 hr ago.Which of the following actions should the nurse take?
a. Inspect the client's skin underneath the boot every 12 hr
b. Encourage the client to perform dorsiflexion of the affected extremity every 2 hr
c. Remove the weights from the traction while repositioning the client in bed
d. Loosen the ropes if the client reports muscle spasms in the affected extremity
Ans>> B. Encourage the client to perform dorsiflexion of the affected extremity every 2 hr
---The nurse should encourage the client to perform dorsiflexion of the affected extremity
every 2 hours to assess if the client is experiencing nerve damage. Weakness of dorsiflexion
can indicate peroneal nerve damage. If this occurs, the nurse should notify the provider
immediately.
,Incorrect Answers
A. The nurse should inspect the client's skin underneath the boot for irritation,
increased swelling, and skin breakdown every 8 hours.
C. The weights should never be removed without a prescription from the provider. The
purpose of the weights is to decrease muscle spasms as a result of the hip fracture.
D. The ropes of the traction should never be loosened. This can affect the traction and
increase the client's muscle spasms.
2. A nurse is caring for a client who has a fractured right hip. Which of the following
types of traction should the nurse expect the client to have prior to hip arthroplasty
surgery?
a. Balanced skeletal traction
b. Pelvic belt
c. Pelvic sling
d. Buck's traction
Ans>> D. Buck's traction---Buck's traction is used prior to hip arthro- plasty to maintain
alignment and prevent muscle spasms prior to surgery.
Incorrect Answers
A. Balanced skeletal traction is used to stabilize fractures of the femur or pelvis, not the
hip. Skeletal traction involves the surgical insertion of pins, tongs, wires, or screws; this is
, sometimes used to stabilize long bone and vertebral fractures. B.
A pelvic belt is used to treat back pain and does not provide traction prior to hip
arthroplasty.
(2024/2025 UPDATE) |VERIFIED 100%
1. A nurse is caring for a client who has a fractured hip and was placed in
Buck's traction 4 hr ago.Which of the following actions should the nurse take?
a. Inspect the client's skin underneath the boot every 12 hr
b. Encourage the client to perform dorsiflexion of the affected extremity every 2 hr
c. Remove the weights from the traction while repositioning the client in bed
d. Loosen the ropes if the client reports muscle spasms in the affected extremity
Ans>> B. Encourage the client to perform dorsiflexion of the affected extremity every 2 hr
---The nurse should encourage the client to perform dorsiflexion of the affected extremity
every 2 hours to assess if the client is experiencing nerve damage. Weakness of dorsiflexion
can indicate peroneal nerve damage. If this occurs, the nurse should notify the provider
immediately.
,Incorrect Answers
A. The nurse should inspect the client's skin underneath the boot for irritation,
increased swelling, and skin breakdown every 8 hours.
C. The weights should never be removed without a prescription from the provider. The
purpose of the weights is to decrease muscle spasms as a result of the hip fracture.
D. The ropes of the traction should never be loosened. This can affect the traction and
increase the client's muscle spasms.
2. A nurse is caring for a client who has a fractured right hip. Which of the following
types of traction should the nurse expect the client to have prior to hip arthroplasty
surgery?
a. Balanced skeletal traction
b. Pelvic belt
c. Pelvic sling
d. Buck's traction
Ans>> D. Buck's traction---Buck's traction is used prior to hip arthro- plasty to maintain
alignment and prevent muscle spasms prior to surgery.
Incorrect Answers
A. Balanced skeletal traction is used to stabilize fractures of the femur or pelvis, not the
hip. Skeletal traction involves the surgical insertion of pins, tongs, wires, or screws; this is
, sometimes used to stabilize long bone and vertebral fractures. B.
A pelvic belt is used to treat back pain and does not provide traction prior to hip
arthroplasty.
