ATI LPN
Patient Comfort Questions Shadow Health Questions
Question 1 of 5
A client is 2 days post operative. The vital signs are: BP - 120/70, HR -- 110 BPM, RR - 26, and Temperature - 100.4 degrees Fahrenheit (38 degrees Celsius). The client suddenly becomes profoundly short of breath, skin color is gray. Which assessment would have alerted the nurse first to the client's change in condition?
Correct Answer: B
Rationale: Tachypnea (RR 26) signals respiratory distress, an early sign of complications like pulmonary embolism.
Question 2 of 5
The nurse is caring for a client who is receiving procainamide (Pronestyl) intravenously. It is important for the nurse to monitor which of the following parameters?
Correct Answer: C
Rationale: Procainamide treats arrhythmias; continuous EKG monitoring detects efficacy or toxicity.
Question 3 of 5
The nurse is caring for a client with schizophrenia who has been treated with quetiapine (Seroquel) for 1 month. Today the client is increasingly agitated and complains of muscle stiffness. Which of these findings should be reported to the health care provider?
Correct Answer: A
Rationale: Fever and sweating suggest neuroleptic malignant syndrome, a life-threatening reaction.
Question 4 of 5
A pregnant woman is hospitalized for treatment of pregnancy induced hypertension (PIH) in the third trimester. She is receiving magnesium sulfate intravenously. The nurse understands that this medication is used mainly for what purpose?
Correct Answer: B
Rationale: Magnesium sulfate prevents seizures (eclampsia) in PIH.
Question 5 of 5
The nurse is assessing a pregnant client in her third trimester. The parents are informed that the ultrasound suggests that the baby is small for gestational age (SGA). An earlier ultrasound indicated normal growth. The nurse understands that this change is most likely due to what factor?
Correct Answer: C
Rationale: Maternal hypertension can restrict placental blood flow, leading to SGA, especially if growth slows later in pregnancy.