Practice Question
A nurse is collecting data on a client who has swelling of the lower leg. The nurse should identify that which of the following findings is a manifestation of compartment syndrome?
Answer Choices:
Correct Answer:
Moderate pain on the ankle of the affected extremity
Rationale:
🔴 Pain out of proportion to the injury—especially moderate to severe pain not relieved by medication or worsened with passive movement—is a hallmark sign of compartment syndrome.
🔴 This condition occurs when increased pressure within a muscle compartment compromises circulation and nerve function, leading to ischemia and potential tissue death.
🔴 Other classic signs include the 6 P’s: Pain, Pallor, Pulselessness, Paresthesia, Paralysis, and Poikilothermia (cool limb).
🔴 A warm extremity, normal capillary refill (blanch time), and a palpable pulse do not rule out compartment syndrome—the presence of pulses can be misleading in early stages.
🔴 Pain is often the earliest and most reliable indicator requiring immediate intervention to prevent permanent damage.
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This question is from VATI ATI Predictor Proctored Assessment-2025 which contains 162 questions.
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From Exam
VATI ATI Predictor Proctored Assessment-2025
162 Questions
View Full Exam Start PracticingQuestion Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exit Exam(s)
- Domain: Exit Exam(s)~2025
- Answer Choices: 4