ATI LPN
COPD Patient Care Question Questions
Question 1 of 5
Mrs. Ford has a belt restraint. How often should she be checked for the position of the restraint?
Correct Answer: A
Rationale: Belt restraints are used to prevent falls or injury but pose risks like skin irritation, circulation issues, or discomfort if improperly positioned or left unchecked. Frequent monitoring is critical to ensure the restraint remains safe and effective. Checking every 10-15 minutes allows for timely adjustments and immediate response to any distress or complications, aligning with best practices in restraint use that emphasize resident safety and comfort. Every 30 minutes or hourly increases the risk of undetected issues, such as pressure sores or restricted blood flow, which can develop quickly. Every two hours is too infrequent, as guidelines typically recommend more regular checks often every 15 minutes or as per care plan to comply with safety standards and legal requirements in healthcare settings, making 'Every 10-15 minutes' the most appropriate and safest choice.
Question 2 of 5
This type of tissue covers internal and external body surfaces which include: cutaneous, serous and mucous cells:
Correct Answer: A
Rationale: Epithelial tissue covers body surfaces, including cutaneous (skin), serous (organ linings), and mucous (tract linings) cells, protecting and secreting as needed. Muscle tissue enables movement, not covering. Nerve tissue transmits signals, not a surface layer. Connective tissue supports and binds, like cartilage, but doesn't line surfaces. Histology classifies epithelial tissue for its protective and lining roles, critical for PSWs in wound care or hygiene, making 'Epithelial' the correct answer over other tissue types with distinct functions.
Question 3 of 5
When caring for a resident's hair, what should the PSW try first if the hair is very tangled?
Correct Answer: C
Rationale: Tangled hair requires gentle care to avoid pain or damage. Wetting with alcohol dries hair, worsening tangles, and isn't standard. Cutting tangles is a last resort, risking uneven results or distress. Calling the nurse escalates unnecessarily for a routine task. Combing one small section at a time is the best first step starting at ends, working up minimizing breakage and discomfort. PSW grooming protocols prioritize patience and client comfort, making this methodical approach the correct initial action.
Question 4 of 5
Where does an obese resident tend to develop skin breakdown?
Correct Answer: C
Rationale: Obese residents face higher skin breakdown risk in skin folds , where moisture, heat, and friction accumulate, fostering irritation or infection (e.g., intertrigo). Knees and calves are less prone unless pressure is constant. The abdomen may be affected but isn't as common as folds (e.g., under breasts, groin). PSW training highlights monitoring these hidden areas, supported by clinical observations of obesity-related skin issues, making 'Skin folds' the correct and most likely location.
Question 5 of 5
When feeding a resident, the PSW:
Correct Answer: C
Rationale: Feeding requires focus on the resident for safety and dignity. Standing divides attention, risking choking. Mixing pureed food may overwhelm or confuse taste. Sitting on the bed is unstable and unhygienic. Sitting with eye contact fosters trust, monitors swallowing, and ensures safety, per PSW feeding protocols. This client-centered approach enhances engagement and reduces risks, making it the correct and preferred method.