ATI LPN Fundamentals - Safety and Mobility

Extract:

Question 1 of 5

A charge nurse is providing an in-service to a group of staff nurses about unexpected events. Which of the following should the nurse include in the teaching as an example of a sentinel event?

A. A client was prescribed a medication they were allergic to, but the prescription was canceled before the medication was givenB. A client fell out of bed and fractured their hip.C. A client was almost given another client's medicationD. A client had bowel surgery and died from sepsis.

Correct Answer: D

Rationale: Death from sepsis following surgery qualifies as a sentinel event, an unexpected occurrence involving death or serious injury.

Question 2 of 5

A nurse is reinforcing teaching with a newly licensed nurse about age-related changes to vision in older adult clients. Which of the following should the nurse include as an example of an expected age-related change?

A. Increased flexibility of the lens.B. Reduced thickness of the natural lens.C. Reduced depth perception.D. Increased tone of eye muscles

Correct Answer: C

Rationale: Age-related changes such as decreased pupil size and changes in visual acuity can lead to reduced depth perception.

Question 3 of 5

A nurse is assisting in performing a mobility assessment on a client. Which of the following data should the nurse collect as part of this assessment?

A. The client's ability to sit.B. The condition of the client's skin.C. The client's health literacy level.D. The client's need for assistance with ADLsE. The client's daily calcium intake.

Correct Answer: A,B,D

Rationale: Assessing ability to sit, skin condition, and need for ADL assistance are key components of a mobility assessment.

Question 4 of 5

A nurse is reinforcing teaching with a newly licensed nurse about orthostatic hypotension. Which of the following information should the nurse include?

A. Orthostatic hypotension increases a client's risk of a pulmonary emboliB. Orthostatic hypotension increases a client's risk of a fall.C. Orthostatic hypotension is indicated by a decrease in systolic blood pressure of 10 mm Hg.D. Orthostatic hypotension is indicated by a decrease in diastolic blood pressure of 5 mm Hg.

Correct Answer: B

Rationale: Orthostatic hypotension can cause dizziness and fainting upon standing, increasing the risk of falls.

Question 5 of 5

A nurse is caring for a client who has been exposed to an unknown chemical. Which of the following actions should the nurse take?

A. Instruct the client to remove their clothing.B. Remain at least 1.8 meters (6 feet) from the clientC. Place the client's clothing in a plastic bagD. Shower and scrub the client's skin.

Correct Answer: A

Rationale: Removing contaminated clothing is the first step to reduce further absorption of the chemical.

ATI LPN Fundamentals - Safety and Mobility | Nurselytic

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