ATI LPN
Chapter 14 Organizing Patient Care Questions Questions
Question 1 of 5
When a resident recognizes the bath water is too hot, this involves which of his senses?
Correct Answer: B
Rationale: Touch senses hot water e.g., skin unlike hearing , smell , or watch (D, sight). PSWs check this e.g., temp for safety. Misnaming risks burns; this fits. This observation ensures comfort, a PSW care detail.
Question 2 of 5
The use of the body in an efficient and careful manner refers to proper body:
Correct Answer: D
Rationale: Proper body mechanics involves using the body efficiently and safely during tasks like lifting or transferring clients, reducing injury risk to PSWs and ensuring client comfort. It encompasses principles like bending at the knees, keeping loads close, and maintaining balance. Segments refer to body parts, not their coordinated use. Alignment is part of mechanics but too narrow alone, focusing on posture. Base of support is a component widening the stance for stability but not the full concept. Body mechanics is the holistic term taught in PSW training, integrating these elements to prevent strain (e.g., back injuries) and align with occupational health guidelines, making it the correct and most complete answer.
Question 3 of 5
Which best describes a protective covering of the body, composed of both living and dead skin?
Correct Answer: A
Rationale: The skin's protective covering comprises the dermis and epidermis . The epidermis, with dead outer cells, shields against pathogens and damage, while the living dermis below supports it with blood vessels and nerves. Tendons and ligaments connect muscles and bones, not a covering. Veins and arteries transport blood internally, not externally protective. Subcutaneous and muscle lie beneath skin, providing insulation and movement, not the surface barrier. As the integumentary system's core, dermis and epidermis align with PSW skin care knowledge, making it the correct description.
Question 4 of 5
When dressing a resident who has an IV in place, the PSW should:
Correct Answer: D
Rationale: Dressing a resident with an IV requires maintaining its function and safety. Discontinuing the IV is beyond a PSW's scope and disrupts treatment. Cutting clothing risks contamination or injury near the site. Turning off the pump interrupts flow, potentially causing clots, and isn't a PSW task. Keeping the IV bag above the needle site ensures gravity-driven flow, preventing backflow or air entry, a standard practice in IV care. This aligns with PSW training for assisting without altering medical devices, making it the safest and correct action.
Question 5 of 5
A client is on complete bed rest. To prevent a bedsore a caregiver should:
Correct Answer: B
Rationale: Bedsores (pressure ulcers) stem from pressure on skin during immobility. Keeping the bottom sheet wrinkle-free reduces friction and pressure points, a primary prevention step in PSW care. Tucking the top sheet snugly increases pressure, worsening risk. Cotton sheets aid comfort but don't prevent sores alone. Thick pads may help but aren't standard without specific orders. Guidelines like NPUAP's emphasize smooth bedding, making 'Keep the bottom sheet wrinkle free' the correct and practical choice.