ATI LPN
Chapter 14 Organizing Patient Care Questions Questions
Question 1 of 5
While working with an aggressive patient, it is important for the nurse to:
Correct Answer: C
Rationale: Positioning ensures an escape route, enhancing safety with an aggressive patient.
Question 2 of 5
What is the main advantage of cutaneous stimulation in managing pain:
Correct Answer: C
Rationale: Cutaneous stimulation's main advantage is giving clients control over pain , per the document. Techniques like TENS empower patients to manage symptoms in their environment, enhancing autonomy. Cost is secondary, movement restriction is false it increases mobility and family care isn't primary. C improves quality of life, making it the key benefit.
Question 3 of 5
The nurse is planning care for a client with a cerebral vascular accident (CVA). Which of the following measures planned by the nurse would be most effective in preventing skin breakdown?
Correct Answer: C
Rationale: Repositioning every two hours is most effective for preventing skin breakdown in a CVA client. Immobility from paralysis increases pressure on bony prominences, risking tissue ischemia and pressure ulcers. Regular repositioning relieves this pressure, enhances blood flow, and aligns with evidence-based prevention strategies. Wheelchair use aids mobility but doesn't address constant pressure relief. Padding helps but is less effective without movement. Massaging reddened areas can worsen damage if circulation is poor. C is proactive, foundational to skin integrity, and standard in immobile patients, making it the best choice.
Question 4 of 5
The nurse is instructing a 65 year-old female client diagnosed with osteoporosis. The most important instruction regarding exercise would be to
Correct Answer: A
Rationale: Weight-bearing exercises are most important for a 65-year-old with osteoporosis. They stimulate bone density, slowing loss despite irreversibility, per evidence. Weight reduction helps but isn't primary. Avoiding risky exercise is passive, not proactive. Muscle strengthening supports but doesn't target bone. A, with calcium/estrogen, prevents progression, making it the key instruction.
Question 5 of 5
Which task for a client with anemia and confusion could the nurse delegate to the unlicensed assistive personnel (UAP)?
Correct Answer: C
Rationale: Suggesting iron-rich, easy foods is delegable to a UAP. It's a supportive task within scope, aiding nutrition without assessment. Skin turgor , testing , and mental status require RN judgment. C enhances care safely, making it appropriate.