ATI LPN
Patient Comfort Questions Shadow Health Questions
Question 1 of 5
A client frequently admitted to the locked psychiatric unit repeatedly compliments and invites one of the nurses to go out on a date. The nurse's response should be to
Correct Answer: D
Rationale: Discussing therapeutic boundaries is best. It reinforces professional limits, addressing behavior constructively, per ethics. Reassignment , reprimand , or policy avoid engagement. D maintains care, making it optimal.
Question 2 of 5
The nurse is assigned to care for a client who had a myocardial infarction (MI) 2 days ago. The client has many questions about this condition. What area is a priority for the nurse to discuss at this time?
Correct Answer: D
Rationale: Activity and rest guidelines are priority 2 days post-MI. They prevent strain, aiding recovery, per acute phase needs. Daily needs , rehab , and meds/diet follow. D ensures safety, making it key.
Question 3 of 5
The nurse is performing a physical assessment on a toddler. Which of the following actions should be the first?
Correct Answer: B
Rationale: Using minimal physical contact is first for a toddler. It builds trust, reducing fear, per development. Traumatic procedures , head-to-toe , or explanation follow. B ensures cooperation, making it initial.
Question 4 of 5
The nurse is assessing a client with a suspected bowel obstruction. Which finding should the nurse report immediately to the health care provider?
Correct Answer: B
Rationale: High-pitched bowel sounds need immediate reporting in suspected bowel obstruction. They indicate hyperperistalsis from blockage, risking perforation, per pathophysiology. Nausea , mild pain , and 12-hour stool absence are less urgent. B signals progression, making it critical.
Question 5 of 5
A client who is receiving IV gentamicin for a wound infection says to the nurse, 'I've been having some trouble hearing lately.' Which action should the nurse take first?
Correct Answer: B
Rationale: Notifying the provider immediately is first. Hearing trouble with gentamicin suggests ototoxicity, a serious side effect needing urgent review, per protocol. Asking , documenting , or assessing delays intervention. B ensures safety, making it priority.