ATI LPN
Patient Comfort Questions Questions
Question 1 of 5
A 2 month-old infant has both a cleft lip and palate which will be repaired in stages. In the immediate postoperative period for a cleft lip repair, which nursing approach should be the priority?
Correct Answer: C
Rationale: Suture line care prevents infection, a priority post-cleft lip repair.
Question 2 of 5
The nurse is caring for a woman 2 hours after a vaginal delivery. Documentation indicates that the membranes were ruptured for 36 hours prior to delivery. What is the priority nursing diagnoses at this time?
Correct Answer: D
Rationale: Prolonged rupture increases infection risk, a priority post-delivery.
Question 3 of 5
On admission to the psychiatric unit, the client is trembling and appears fearful. The nurse's initial response should be to
Correct Answer: B
Rationale: A personal introduction and escort reduce anxiety and build trust.
Question 4 of 5
A client has just been admitted with portal hypertension. Which nursing diagnosis would be a priority in planning care?
Correct Answer: B
Rationale: Hemorrhage risk from esophageal varices is life-threatening in portal hypertension.
Question 5 of 5
Which of these variations in the newborn results from the presence of maternal hormones?
Correct Answer: A
Rationale: Breast engorgement in newborns is due to maternal estrogen exposure.