RPN Safety and Mobility Needs 4

Question 1

A nurse applies sequential compression devices (SCDs) to a post-operative patient. The PRIMARY purpose of this intervention is to:

Accepted Answer

Prevent deep vein thrombosis by promoting venous return

Answer

SCDs intermittently compress the legs to mimic the calf muscle pump, promoting venous return and preventing DVT in immobile post-operative patients.

Question 2

When performing passive range-of-motion (ROM) exercises on a patient's hip, the nurse should stop and reassess if:

Accepted Answer

The patient reports pain during the exercise

Answer

Passive ROM should be performed within the pain-free range; pain indicates possible injury, inflammation, or exceeding the joint's safe limits.

Question 3

A confused elderly patient keeps trying to climb out of bed despite interventions. Before applying a physical restraint, the nurse should first:

Accepted Answer

Obtain a physician's order and apply the least restrictive restraint available

Answer

Restraints require a physician's order and must be the least restrictive option necessary; this is the mandatory first step before application.

Question 4

A nurse discovers a patient on the floor after a fall. After calling for help, the nurse's next priority action is to:

Accepted Answer

Assess the patient for injury before moving them

Answer

The patient must be assessed for injuries such as fractures or head trauma before any attempt to move them, to avoid worsening an existing injury.

Question 5

Which nursing action is MOST effective in preventing hospital-acquired pressure injuries in an immobile patient?

Accepted Answer

Repositioning the patient at least every 2 hours

Answer

Regular repositioning every 2 hours relieves sustained pressure on vulnerable tissues and is the cornerstone of pressure injury prevention.

RPN - Registered Practical Nurse Practice Test