ATI LPN
Chapter 14 Organizing Patient Care Questions Questions
Question 1 of 5
The nurse understands that a priority goal of involuntary hospitalization of the severely mentally ill client is
Correct Answer: C
Rationale: Safety is the primary goal of involuntary admission.
Question 2 of 5
A 16 month-old child has just been admitted to the hospital. As the nurse assigned to this child enters the hospital room for the first time, the toddler runs to the mother, clings to her and begins to cry. What would be the initial action by the nurse?
Correct Answer: B
Rationale: Clinging reflects normal separation anxiety at this age, reassuring the parent.
Question 3 of 5
A client is discharged following hospitalization for congestive heart failure. The nurse teaching the family suggests they encourage the client to rest frequently in which of the following positions?
Correct Answer: A
Rationale: High Fowler's promotes lung expansion and reduces cardiac workload in CHF.
Question 4 of 5
Which position is recommended for a patient experiencing difficulty breathing?
Correct Answer: C
Rationale: Fowler's position, where the head of the bed is elevated, is ideal for patients with breathing difficulties because it maximizes lung expansion and eases respiratory effort. Gravity assists the diaphragm's movement, reducing pressure on the chest and improving oxygen intake, which is critical in conditions like dyspnea. Prone position (lying face down) may help specific cases like ARDS but isn't generally recommended for most breathing issues. Supine position (flat on back) can restrict lung expansion, worsening the problem. Trendelenburg position (head lower than feet) is used for circulatory issues, not respiratory support, and could exacerbate breathing difficulties. Fowler's position aligns with physiological needs for better air exchange, making it the nurse's go-to choice.
Question 5 of 5
Which patient population is at a higher risk of pressure ulcers?
Correct Answer: C
Rationale: Elderly individuals with limited mobility are at higher risk for pressure ulcers due to age-related skin thinning, reduced circulation, and prolonged pressure on bony areas from immobility. These factors impair skin integrity, making it prone to breakdown. Young adults typically have resilient skin and mobility, lowering their risk. Athletes, with strong circulation and muscle tone, are less susceptible unless injured. Regular exercisers maintain healthy blood flow, reducing risk further. The elderly, especially when bedridden or chair-bound, face constant pressure and shear forces, compounded by potential malnutrition or chronic illness, necessitating vigilant nursing care like repositioning and pressure-relieving devices.