ATI LPN
Foundations and Adult Health Nursing Test Bank
Chapter 10 : Safety Questions
Question 1 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 2 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 3 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.
Question 4 of 5
____ is a violent or dangerous act used to intimidate or coerce a person or government to further a political or social agenda.
Correct Answer: Terrorism
Rationale: Terrorism is a violent or dangerous act used to intimidate or coerce a person or government to further a political or social agenda.
Question 5 of 5
When reinforcing the PASS acronym for fire extinguisher use the nurse reminds the staff that the final " $\mathrm{S}$ " stands for ____.
Correct Answer: sweep
Rationale: The acronym stands for: $\mathrm{P}=$ pull pin, $\mathrm{A}=$ aim, $\mathrm{S}=$ squeeze, $\mathrm{S}=$ sweep.