ATI LPN
Foundations and Adult Health Nursing Test Bank
Chapter 9 : Hygiene and Care of the Patient?s Environment Cooper: Foundations and Adult Health Nursing, 9th Edition Questions
Question 1 of 5
A nurse assesses an area of sustained redness on the coccyx area of a resident in long-term care. What is the most likely cause of this pressure area?
Correct Answer: B
Rationale: A pressure injury occurs when there is sufficient pressure to collapse the blood vessels.
Question 2 of 5
The nurse is caring for an unconscious patient with a risk for skin impairment. How often will the nurse plan to change the position of this patient?
Correct Answer: C
Rationale: The bedfast patient should have a position change every 2 hours (120 minutes) because skin compromise can occur if there is unrelieved pressure during that amount of time.
Question 3 of 5
The nurse assesses a red blister over the right superior iliac area of a patient. What stage is this decubitus injury?
Correct Answer: B
Rationale: A pressure injury demonstrating blisters is a stage 2 decubitus injury.
Question 4 of 5
The nursing assessment of a pressure injury includes size depth pain odor and color of tissue. What does this evaluate?
Correct Answer: C
Rationale: Ongoing assessment of a pressure injury will evaluate whether improvement is occurring.
Question 5 of 5
The nurse attempts to avoid a pressure injury for a bedridden patient by turning the patient frequently. What is the most favorable position for the nurse to move this patient into?
Correct Answer: C
Rationale: It is preferable to use the 30-degree lateral incline position.