ATI LPN
Providing Personal Care and Comfort Questions
Question 1 of 5
What is the primary purpose of using a draw sheet when repositioning a patient in bed?
Correct Answer: A
Rationale: A draw sheet's primary role is to reduce friction and shear forces on a patient's skin during repositioning, preventing irritation or breakdown, especially in immobile patients prone to pressure ulcers. It allows nurses to slide the patient smoothly rather than dragging them, protecting vulnerable areas like the sacrum or heels. Enhancing sleep quality might be an indirect benefit but isn't the main intent it's about physical care, not rest. Monitoring blood pressure is unrelated, as draw sheets aren't diagnostic tools. Aiding wound healing could be a secondary effect by avoiding further skin damage, but prevention of irritation is the immediate goal. This technique is a fundamental nursing skill for maintaining skin integrity.
Question 2 of 5
When assisting a patient with range-of-motion exercises, what should the nurse aim to prevent?
Correct Answer: C
Rationale: During range-of-motion exercises, the nurse aims to prevent pain and contractures stiff, shortened joints that limit movement and cause discomfort common in immobile patients. These exercises maintain joint function and circulation, but overdoing them or ignoring patient feedback can hurt, while neglect leads to permanent stiffness. Muscle strengthening is a benefit, not a prevention target. Joint flexibility is the goal, not something to avoid. Shortness of breath might occur but isn't the primary focus pain and contractures are the key risks. Nurses balance gentle movement with patient tolerance, ensuring long-term mobility and comfort.
Question 3 of 5
When should a nurse provide mouth care for an unconscious patient?
Correct Answer: C
Rationale: Providing mouth care after meals and as needed for an unconscious patient prevents bacterial buildup, dry mouth, and infections like pneumonia, addressing immediate hygiene needs. Weekly care is too infrequent, risking oral health decline. Unconscious patients can't request care, making proactive nursing essential. Limiting to visiting hours ignores clinical necessity care timing reflects patient condition, not schedules. Nurses perform this frequently, using swabs or brushes, to maintain mucosal health and comfort, a vital task in dependent care to avert complications.
Question 4 of 5
When preparing to change a wound dressing, what should the nurse do first?
Correct Answer: B
Rationale: Washing hands and putting on sterile gloves first when changing a wound dressing establishes a clean field, preventing infection by removing germs and maintaining sterility during the procedure. Reusing gloves spreads pathogens, risking wound contamination. Exposing the wound delays care and invites airborne bacteria. Avoiding discussion misses a chance to ease patient anxiety communication is key, but hygiene precedes it. Nurses follow this sequence to align with aseptic technique, ensuring the wound heals without complications, a foundational step in infection control.
Question 5 of 5
What is the primary purpose of using a drawsheet when repositioning a patient in bed?
Correct Answer: A
Rationale: A drawsheet prevents skin irritation during repositioning by reducing friction and shear on a patient's skin, protecting against breakdown or ulcers in bedridden individuals. Sleep quality might improve indirectly, but it's not the focus it's physical protection. Pain assessment occurs separately, not via drawsheets. Communication isn't facilitated; it's a manual aid. Nurses slide patients with this linen layer to minimize drag, preserving skin integrity, a simple yet essential technique in immobility care.