ATI LPN
Patient Comfort Questions Questions
Question 1 of 5
A child is diagnosed with poison ivy. The mother tells the nurse that she does not know how her child contracted the rash since he had not been playing in wooded areas. As the nurse asks questions about possible contact, which of the following would the nurse recognize as highest risk for exposure?
Correct Answer: C
Rationale: Burning poison ivy releases urushiol into smoke, a high-risk exposure route.
Question 2 of 5
During the care of a client with Legionnaire's disease, which finding would require the nurse's immediate attention?
Correct Answer: D
Rationale: Reduced chest expansion suggests worsening respiratory distress, critical in Legionnaire's.
Question 3 of 5
On admission to the hospital a client with an acute asthma episode has intermittent nonproductive coughing and a pulse oximeter reading of 88%. The client states, 'I feel like this is going to be a bad time this admission. I wish I would not have gone into that bar with all those people who smoke last night.' Which nursing diagnoses would be most important for this client?
Correct Answer: D
Rationale: Pulse oximetry of 88% indicates impaired gas exchange, the most urgent issue.
Question 4 of 5
A female client diagnosed with genital herpes simplex virus 2 (HSV 2) complains of dysuria, dyspareunia, leukorrhea and lesions on the labia and perianal skin. A primary nursing action with the focus of comfort should be to
Correct Answer: A
Rationale: Sitz baths reduce pain and inflammation from HSV lesions.
Question 5 of 5
A client is admitted with a distended bladder due to the inability to void. The nurse obtains an order to catheterize the client, and is aware that gradual emptying is preferred over complete emptying because it reduces the
Correct Answer: B
Rationale: Rapid emptying can cause hypovolemic shock from sudden pressure shifts.