ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 16 : Moving and Positioning Patients Questions
Question 1 of 5
Which interventions are appropriate for this patient?
Correct Answer: A,B,D,F
Rationale: These interventions prevent complications like pneumonia, maintain mobility, promote hydration, and assess position tolerance. Avoiding right-side positioning is unnecessary, and making decisions for the patient disregards autonomy.
Question 2 of 5
Give the rationale for each intervention that you chose.
Correct Answer: A,B,D,F
Rationale: These rationales explain why the chosen interventions are appropriate for the patient's condition.
Question 3 of 5
How will you be able to tell if this patient has pain or discomfort during range-of-motion exercises?
Correct Answer: B
Rationale: Nonverbal cues like grimacing indicate pain in a patient with impaired speech.
Question 4 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 5 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.