ATI LPN
Providing Personal Care and Comfort Questions
Question 1 of 5
A client is admitted to the emergency room following an acute asthma attack. Which of the following assessments would be expected by the nurse?
Correct Answer: A
Rationale: Diffuse expiratory wheezing is expected in an acute asthma attack. Bronchoconstriction causes this, per pathophysiology. Cough , inhaler failure , and fever may occur but aren't universal. A is classic, making it correct.
Question 2 of 5
The spouse of a client who has just been diagnosed with lung cancer says to the nurse, 'I guess all those years of smoking have come back to haunt us.' Which response by the nurse would be most therapeutic?
Correct Answer: B
Rationale: Tell me how you are feeling about this diagnosis' is most therapeutic. It invites emotional expression, supporting coping, per communication standards. Agreeing , reassuring , or minimizing dismiss feelings. B builds rapport, aiding grief processing, making it the best response.
Question 3 of 5
The nurse is caring for a client who is receiving a blood transfusion. Fifteen minutes after the transfusion is started, the client reports itching over the trunk and arms. Which action should the nurse take first?
Correct Answer: B
Rationale: Stopping the transfusion and running saline is first for itching during transfusion. It halts a potential allergic reaction, per protocol, preserving IV access. Slowing delays, notifying or medicating follows. B prevents escalation, making it priority.
Question 4 of 5
The nurse is preparing a client for a colonoscopy. Which instruction should the nurse include to reduce the risk of complications?
Correct Answer: A
Rationale: Avoid eating solid food for 24 hours before' reduces colonoscopy risks. Clear bowels minimize perforation or obstruction, per prep standards. Meds may be held, milk obscures view, and pain reporting is post-procedure. A ensures safety, making it key.
Question 5 of 5
The nurse notes that a 2 year-old child recovering from a tonsillectomy has an temperature of 98.2 degrees Fahrenheit at 8:00 AM. At 10:00 AM the child's parent reports that the child 'feels very warm' to touch. The first action by the nurse should be to
Correct Answer: C
Rationale: Reassessing the temperature is the first action. A parent's report of 'feels very warm' suggests possible fever post-tonsillectomy, requiring objective confirmation before intervention, per pediatric nursing standards. Reassurance without data is premature, fluids don't address the cause, and acetaminophen requires fever verification to avoid masking symptoms. C ensures accurate assessment, guiding subsequent care.