Practice Question
A nurse working in long-term care facility is assessing residents at risk for the development of a pressure injury. Which resident would be most at risk?
Answer Choices:
Correct Answer:
A client 68 years of age who is comatose due to a traumatic brain Injury
Rationale:
🎯A comatose client is at highest risk for pressure injury development due to total immobility, reduced sensation, and inability to reposition independently.
🎯Age further increases the risk due to skin fragility and poor perfusion.
🎯These clients require regular repositioning and comprehensive skin assessments.
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This question is from RN Fundamentals Exam Nursing 100 EXAM 3 which contains 48 questions.
More Questions from This Exam
A nurse is caring for a client who has a prescription for a stool test for occult. The nurse understands the purpose of the test is to check the stool for which of the following substances?
Answer Choices:
A. Bacteria
B. Parasites
C. Steatorrhea
D. Blood
The nurse uses gait belts when assisting clients to ambulate. Which client would be a likely candidate for this assistive device?
Answer Choices:
A. A client who is confined to bedrest.
B. A client who has leg strength and can cooperate with the movement
C. A client who has a thoracic incision.
D. A client who has an abdominal incision.
A nurse applies padded boots to maintain the foot in dorsiflexion to a client who is comatose. The nurse is protecting the client from:
Answer Choices:
A. decubitus ulcers.
B. foot drop.
C. pooling of blood.
D. blood pressure changes.
A client at a healthcare facility has been diagnosed with polyuria. How would the nurse describe the client's condition in the medical record?
Answer Choices:
A. Inadequate elimination of urine
B. Absence of urine
C. Difficult or uncomfortable voiding
D. Greater that normal urinary volume
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Fundamentals of Nursing
- Answer Choices: 4