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Practice Question

A nurse is assessing a group of clients at risk of developing a pressure injury. The nurse should identify that which of the following clients is at the greatest risk?

Answer Choices:

Correct Answer:

A client who has dementia and is incontinent of urine

Rationale:

➧ Clients with dementia are at a higher risk for pressure injuries because of limited mobility and cognitive impairment that hinders proper repositioning.

Incontinence contributes to skin breakdown and increases the risk of moisture-associated dermatitis.

➧ The combination of impaired mobility and incontinence makes this client especially vulnerable to pressure ulcers.

➧ The other clients may have risk factors, but the cognitive impairment and incontinence in this case make it a higher priority.

➧ Proper skin care and frequent repositioning are essential to prevent pressure injuries.

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This question is from RN Comprehensive Predictor-2023(2025 Edition) Exam 4 which contains 176 questions.

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Answer Choices:

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C. Suggest the client JOTI a support group for people who have colostomies.
D. Transfer the client to a rehabilitation facility for instruction about self-management of the colostomy.
A nurse is assessing a client who is postoperative following abdominal surgery. Which of the following findings should indicate to the nurse that the client is at risk for developing a surgical wound infection?

Answer Choices:

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A nurse is teaching a client who is to undergo placement of a no tunneled percutaneous central venous access device. Which of the following statements should the nurse include in the teaching?

Answer Choices:

A. "Your head will be elevated as high as possible while the catheter is inserted."
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From Exam
RN Comprehensive Predictor-2023(2025 Edition) Exam 4

176 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI EXIT Exam(s)
  • Domain: RN ATI Comprehensive Predictor Exam(s)~2025
  • Answer Choices: 4
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