ATI LPN
Patient Comfort Questions Questions
Question 1 of 5
A client has been admitted with a fractured femur and has been placed in skeletal traction. Which of the following nursing interventions should receive priority?
Correct Answer: B
Rationale: Frequent neurovascular assessments are priority in skeletal traction. They detect compartment syndrome or nerve damage, critical post-fracture. Alignment , pin sites , and trapeze follow. B ensures safety, making it key.
Question 2 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 3 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 4 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.
Question 5 of 5
The nurse is caring for a client who was successfully resuscitated from a pulseless dysrhythmia. Which of the following assessments is critical for the nurse to include in the plan of care?
Correct Answer: A
Rationale: Hourly urine output is critical post-resuscitation from pulseless dysrhythmia. It monitors renal perfusion and cardiac output, reflecting hemodynamic stability after cardiac arrest, per critical care guidelines. White blood count assesses infection but isn't immediate, glucose is less urgent unless diabetic, and temperature detects fever but not organ function. A directly evaluates resuscitation success, detecting complications like acute kidney injury early.