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Practice Question

A nurse is observing an assistive personnel (AP) apply a belt restraint on a client. Which of the following actions by the AP requires intervention by the nurse?

Answer Choices:

Correct Answer:

Placing the restraint across the client's chest

Rationale:

🛑Positioning across the thorax can restrict chest expansion and impair respiratory function.

✅Restraints should anchor on limbs, allowing breathing and minimizing asphyxia risk.

🔐Proper placement reduces potential for respiratory compromise and maintains safety.

⚠️Any risk to airway or circulation integrity requires immediate intervention.

📌Core Message

Ensure restraints preserve respiratory function by avoiding placement across the chest.

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This question is from ATI PN management 202 which contains 52 questions.

More Questions from This Exam
A nurse is serving on a committee that is developing infectious disease protocols. Which of the following instructions should the nurse include in the protocol for clients who have Clostridium difficile?

Answer Choices:

A. Use diluted bleach to clean soiled equipment
B. Provide a room with negative-pressure airflow.
C. Wear an N95 respirator when caring for the client.
D. Disinfect hands using an alcohol-based waterless antiseptic.
A nurse is reinforcing teaching with staff members about the protocol for extinguishing a fire in a trash can in a client's room. After removing the client from the room, which of the following actions should the nurse instruct the staff members to take next?

Answer Choices:

A. Turn off electrical equipment in the client's room.
B. Use a Class A fire extinguisher to contain the fire.
C. Close the door to the client's room.
D. Activate the alarm outside the client's room.
A nurse is caring for a client who is scheduled for a colostomy. The client tells the nurse to cancel the procedure. Which of the following responses should the nurse make?

Answer Choices:

A. "Why have you decided not to have the procedure?"
B. "Don't worry. You will adjust to the colostomy quickly."
C. "It sounds like you have concerns about the procedure."
D. "Do you think that's the right decision for you and your family?"
A nurse is preparing to discharge a client who had a cerebrovascular accident and has left-sided weakness. The client is having difficulty completing ADLs. Which of the following is the priority action by the nurse?

Answer Choices:

A. Recommend occupational therapy referral for the client.
B. Reinforce teaching about the client's prescribed medications.
C. Provide the client with a list of community resources.
D. Encourage the client to discuss nutritional needs with a dietitian.
A nurse is assisting in a client education class for fire safety in the home. Which of the following statements by a client indicates an understanding of the teaching?

Answer Choices:

A. "I will attempt to extinguish the fire before calling the fire department."
B. "I should change the batteries in my smoke alarms every 2 years."
C. “I should spray the extinguisher from side to side on the fire."
D. "I will use a Class A extinguisher for an electrical fire."
From Exam
ATI PN management 202

52 Questions

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Question Details
  • Category: LPN Nursing Exams
  • Subcategory: ATI Exams (LPN)
  • Domain: MANAGEMENT
  • Answer Choices: 4
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