ATI LPN
Shadow Health Patient Comfort Questions Questions
Question 1 of 5
A 3 year-old child is brought to the clinic by his grandmother to be seen for 'scratching his bottom and wetting the bed at night.' Based on these complaints, the nurse would initially assess for which problem?
Correct Answer: D
Rationale: Pinworms should be initially assessed. Anal itching and enuresis are classic signs, per parasitology. Allergies , scabies , and regression don't fit. D drives diagnosis, making it correct.
Question 2 of 5
The nurse has just received a client from the emergency department who experienced blunt chest trauma in a motor vehicle crash. Which assessment finding requires immediate intervention by the nurse?
Correct Answer: D
Rationale: Trachea deviated to the right requires immediate intervention. It suggests tension pneumothorax from trauma, shifting mediastinum, needing urgent decompression per ABCs. Tachypnea , SpO2 94% , and bruising are less acute. D threatens airway, making it priority.
Question 3 of 5
The nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD) who is beginning oxygen therapy at 2 L/min via nasal cannula. Which finding would be of most concern to the nurse?
Correct Answer: D
Rationale: Pulse rate of 100 is most concerning with new oxygen in COPD. Tachycardia may signal hypoxia or distress, needing prompt evaluation, per ABCs. RR 20 , SpO2 90% , and dyspnea are typical. D indicates instability, making it priority.
Question 4 of 5
The nurse is preparing to administer a medication via intramuscular injection. Which action should the nurse take to ensure client safety?
Correct Answer: A
Rationale: Aspirating after needle insertion ensures safety in IM injections. Blood return indicates vessel entry, preventing IV administration, per protocol. Quick injection risks tissue damage, 22-gauge varies by drug, and vigorous massage spreads medication. A prevents harm, making it key.
Question 5 of 5
A 72 year-old client with osteomyelitis requires a 6 week course of intravenous antibiotics. In planning for home care, what is the most important action by the nurse?
Correct Answer: C
Rationale: Assessing the client's ability to participate in self-care or caregiver reliability is most important. Successful home IV antibiotic therapy for osteomyelitis hinges on consistent administration and monitoring, per home health standards. Insurance is logistical, hand washing is secondary, and device selection follows capability assessment. C ensures treatment adherence and safety.