ATI LPN Comprehensive Predictor

Extract:

The client has quadriplegia.

Question 1 of 5

A nurse is assisting in the care of a client who has quadriplegia. Which of the following actions should the nurse take?

A. Place the client's glasses on the bedside table.B. Place the call light within the client's reach.C. Check on the client every 4 hr.D. Place the client in a room near the nurses' station.

Correct Answer: B

Rationale: Placing the call light within reach ensures the client can summon help.

Question 2 of 5

A nurse is assisting in the care of a client who has quadriplegia. Which of the following actions should the nurse take?

A. Place the client's glasses on the bedside table.B. Place the call light within the client's reach.C. Check on the client every 4 hr.D. Place the client in a room near the nurses' station.

Correct Answer: B

Rationale: Placing the call light within reach ensures the client can summon help.

Extract:

Question 3 of 5

A nurse is supervising an assistive personnel (AP) who is applying antiembolic stockings for a client. Which of the following actions by the AP requires intervention by the nurse?

A. Asking the client to point their toes before applying the stockingsB. Ensuring that creases in the stockings are on the front of the client's legsC. Turning the stockings inside out before applying themD. Applying the stockings before the client gets out of bed

Correct Answer: B

Rationale: Creases should be avoided to prevent skin irritation; this requires intervention.

Question 4 of 5

A nurse is applying a belt restraint to a client who has become physically aggressive. Which of the following actions should the nurse take?

A. Place the client in a sitting position.B. Tie the restraint to the railing of the client's bed.C. Ensure the restraint is placed across the client's chest.D. Apply the restraint under the client's clothes.

Correct Answer: A

Rationale: Placing the client in a sitting position ensures safety and proper restraint application.

Question 5 of 5

A nurse is completing documentation in the medical record about a client who fell on the floor. Which of the following statements should the nurse include in the documentation?

A. The client fell because the assistive personnel did not place nonskid slippers on the client.B. Client stated, 'I lost my balance and fell when I got out of bed to go to the bathroom.'C. An incident report has been completed and sent to risk management.D. The client does not appear to have any injuries resulting from the fall.

Correct Answer: B

Rationale: Quoting the client's statement provides an objective account of the event.

ATI LPN Comprehensive Predictor | Nurselytic

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