RPN - Registered Practical Nurse Safety and Mobility Needs Questions and Answers

Question 1

An RPN is admitting an 82-year-old client to a long-term care facility.
The client has a history of osteoporosis, takes a diuretic for hypertension, and wears bifocal glasses.
What is the RPN's priority action related to the client's safety?

Accepted Answer

Complete a comprehensive fall risk assessment using a standardized tool.

Answer

Request a prescription for a bed alarm from the physician.

Answer

Ensure the client's call bell is within reach at all times.

Answer

Teach the client how to use the grab bars in the bathroom.

Question 2

An RPN is teaching a client how to safely use a standard walker. Which instruction is most important for the RPN to include?

Accepted Answer

"Lift the walker, place it a short distance ahead, then step into it with your affected leg first."

Answer

"Always look down at your feet while you are walking."

Answer

"Advance the walker, then step forward with your stronger leg first."

Answer

"Keep all four tips of the walker on the floor and slide it forward."

Question 3

Which of the following actions by an RPN demonstrates correct principles of body mechanics when preparing to transfer a client from a bed to a wheelchair?

Accepted Answer

Raising the bed to a comfortable working height.

Answer

Keeping their feet close together to create a stable base.

Answer

Bending primarily at the waist to get closer to the client.

Answer

Twisting their torso to pivot the client toward the chair.

Question 4

An RPN is caring for an older adult client with dementia who is agitated and repeatedly trying to climb out of bed. The client does not respond to verbal redirection. What is the most appropriate initial intervention before considering restraints?

Accepted Answer

Place a floor mat next to the bed and lower the bed to its lowest position.

Answer

Ask a family member to sit with the client.

Answer

Administer a prescribed sedative medication.

Answer

Apply soft wrist restraints to prevent the client from leaving the bed.

Question 5

An RPN is positioning a client who is immobile to prevent the development of pressure injuries. To effectively relieve pressure on the sacrum and coccyx, which position is most recommended?

Accepted Answer

30-degree lateral (side-lying) position

Answer

High-Fowler's position

Answer

Supine position with a pillow under the knees

Answer

Prone position

Question 6

An RPN is completing a safety check in a client's room. The client is alert, oriented, and mobile with a walker. Which of the following findings poses the greatest immediate safety risk to this client?

Accepted Answer

A small spill of water is on the floor between the bed and the bathroom.

Answer

The television volume is set too high.

Answer

The client's personal belongings are cluttered on the bedside table.

Answer

The overhead room light is off, but the bedside lamp is on.

An RPN is admitting an 82-year-old client to a long-term care facility.The client has a history of osteoporosis, takes a diuretic for hypertension, and wears bifocal glasses.What is the RPN's priority action related to the client's safety?

An RPN is admitting an 82-year-old client to a long-term care facility.
The client has a history of osteoporosis, takes a diuretic for hypertension, and wears bifocal glasses.
What is the RPN's priority action related to the client's safety?