ATI LPN
COPD Patient Care Question Questions
Question 1 of 5
A 3 year-old had a hip spica cast applied two hours ago. In order to facilitate drying, the nurse should
Correct Answer: A
Rationale: Air exposure and frequent turning ensure even drying of the cast.
Question 2 of 5
The nurse in a well-child clinic examines many children on a daily basis. Which of the following toddlers requires further follow up?
Correct Answer: A
Rationale: Most children walk by 12-15 months; inability at 13 months warrants evaluation.
Question 3 of 5
Which of the following conditions assessed by the nurse would contraindicate the use of benztropine (Cogentin)?
Correct Answer: C
Rationale: Benztropine's anticholinergic effects worsen glaucoma and prostatic hypertrophy.
Question 4 of 5
When assisting a patient with oral hygiene, which action is appropriate?
Correct Answer: D
Rationale: Regular mouth care is essential to maintain oral health, prevent infections, and ensure patient comfort, especially for those unable to perform it themselves. Brushing once a week is inadequate daily care is the standard to remove plaque and bacteria. A firm-bristled brush can damage gums, particularly in frail patients, so softer bristles are preferred. Vigorous flossing risks injuring sensitive tissues and isn't suitable for all patients, especially those with limited mobility or cooperation. Regular mouth care, tailored to the patient's needs (e.g., brushing, swabbing, or rinsing), prevents complications like gingivitis or aspiration pneumonia, which are risks in dependent patients. It's a proactive, gentle approach that prioritizes hygiene and safety.
Question 5 of 5
When making an occupied bed, which step is essential to ensure patient safety?
Correct Answer: D
Rationale: Explaining the process and involving the patient as much as possible when making an occupied bed ensures safety by keeping them informed and stable during repositioning. This reduces anxiety, prevents sudden movements, and allows the nurse to adjust based on the patient's ability. Changing linens weekly compromises hygiene and comfort, risking skin issues. Raising all side rails might trap or confuse the patient, increasing fall risk if they try to move. Asking them to leave the bed defeats the 'occupied' purpose and isn't always feasible. Communication and collaboration minimize hazards, aligning with safe, patient-centered care principles.