ATI LPN
Patient Comfort Questions Questions
Question 1 of 5
A client had 20 mg of Lasix (furosemide) PO at 10 AM. Which would be essential for the nurse to include at the change of shift report?
Correct Answer: C
Rationale: Urine output of 1500 cc in 5 hours is essential post-Lasix. Furosemide's diuretic effect needs monitoring for efficacy and fluid status, critical post-MI. Weight , potassium , and next dose are secondary. C drives care, making it key.
Question 2 of 5
The nurse planning care for a 12 year-old child with sickle cell disease in a vaso-occlusive crisis of the elbow should include which one of the following as a priority?
Correct Answer: B
Rationale: Client-controlled analgesia is priority in sickle cell crisis. Pain from vaso-occlusion needs immediate relief, per standards. Fluid restriction , cold , or exercise worsen it. B manages pain, making it key.
Question 3 of 5
A client who is receiving a whole blood transfusion suddenly reports low back pain and dyspnea. Which action should the nurse take first?
Correct Answer: B
Rationale: Stopping the transfusion and keeping the vein open with saline is first. Back pain and dyspnea signal a transfusion reaction (e.g., hemolytic), needing immediate cessation per protocol. Slowing delays, calling or checking vitals follows. B stops harm, maintaining access, making it priority.
Question 4 of 5
The nurse is assessing a client with a history of heart failure who reports gaining 3 pounds since yesterday. Which additional finding would be of most concern to the nurse?
Correct Answer: C
Rationale: Crackles in lower lobes are most concerning with a 3-pound gain in heart failure. They indicate pulmonary edema from fluid overload, needing urgent care, per pathophysiology. Pillows , BP , and no dyspnea are less acute. C signals decompensation, making it priority.
Question 5 of 5
The nurse is caring for a client with tuberculosis in an airborne isolation room. Which action by the nurse indicates a break in infection control precautions?
Correct Answer: A
Rationale: Wearing gown and gloves only breaks TB precautions. Airborne isolation requires an N95/HEPA mask to filter droplets, per CDC guidelines; gown/gloves alone insufficient. HEPA mask , handwashing , and closed door are correct. A risks transmission, making it the error.