ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 16 : Moving and Positioning Patients Questions
Question 1 of 5
Describe a patient who is most at risk for skin breakdown as a result of immobility and being confined to a wheelchair.
Correct Answer: B
Rationale: Elderly patients with diabetes and poor nutrition are at high risk due to impaired healing and circulation.
Question 2 of 5
You are caring for a patient on the first day after surgery. You have orders to get her up in the chair for 30 minutes twice a day. Her BP is 110/64 and P 86 while lying down. After you assist her to dangle, her BP is 102/60 and P 102. What will you do?
Correct Answer: A
Rationale: A drop in BP and increased pulse suggest orthostatic hypotension; returning her to bed and monitoring is safest.
Question 3 of 5
Describe the actions you will take after you assist Mr. Weldon back to bed.
Correct Answer: A,B,C,D
Rationale: These actions address the injury, prevent infection, ensure communication, and meet documentation requirements.
Question 4 of 5
How can you be certain that the wheels of a stretcher are locked before transferring a patient?
Correct Answer: B
Rationale: Physically attempting to move the stretcher confirms that the wheels are locked, ensuring safety during patient transfer.
Question 5 of 5
When you care for your assigned patient with paralysis of both legs, you are concerned about skin breakdown. Which nursing interventions would you use?
Correct Answer: B,C,E
Rationale: Repositioning every 2 hours (not 4) prevents pressure ulcers; inspecting bony prominences and providing nutrition support skin integrity. Massaging red areas can worsen damage, and patting with towels doesn't relieve pressure effectively.