ATI LPN
Foundations and Adult Health Nursing Test Bank
Chapter 10 : Safety Questions
Question 1 of 5
A nurse instructs an unlicensed assistive personnel about the proper use of a gait belt and is observing a return demonstration. What action by the unlicensed assistive personnel should cause the nurse to intervene?
Correct Answer: A
Rationale: A gait belt should be securely applied around the patient's waist. It has handles attached for the nurse to grasp while the patient ambulates. The nurse should walk on the patient's weaker side so that assistance may be given if the patient starts to fall.
Question 2 of 5
What should a nurse do when encountering a mercury spill?
Correct Answer: D
Rationale: In the event of a mercury spill, interior doors should be closed and outside windows should be opened. The spill should not be vacuumed.
Question 3 of 5
When the nurse ambulates with a patient who has left-sided weakness what actions should the nurse take?
Correct Answer: A,E
Rationale: Ambulating with a person who has an identified weakness requires that the nurse walk on the same side as the weakness, slightly behind the patient, with the nurse's near leg behind the patient's knee. The nurse should use a gait belt and hold the patient at the waist and the gait belt. Furniture can be used as support.
Question 4 of 5
The nurse assesses a patient in a Posey safety reminder device (SRD) for which problem that may increase because of the use of SRDs?
Correct Answer: A,C,D,E
Rationale: The use of SRDs increases a patient's immobility, risk for skin impairment, risk for impaired circulation, and incontinence. A SRD would not increase lethargy.
Question 5 of 5
A long-term care facility is committing to a restraint-free environment. What will the health care workers implement to encourage this environment?
Correct Answer: A,B,D
Rationale:
To encourage a restraint-free environment, health care workers should provide frequent orientation to surroundings, thoroughly explain all procedures and treatments, and maintain toileting routines. Visitors should be encouraged so they may sit with the residents, and frequent exercise and ambulation also should be encouraged.