ATI LPN
Patient Comfort Questions Questions
Question 1 of 5
A client is admitted with a distended bladder due to the inability to void. The nurse obtains an order to catheterize the client, and is aware that gradual emptying is preferred over complete emptying because it reduces the
Correct Answer: B
Rationale: Rapid emptying can cause hypovolemic shock from sudden pressure shifts.
Question 2 of 5
The nurse is evaluating the growth and development of a toddler with AIDS. The nurse would anticipate finding that the child has
Correct Answer: D
Rationale: AIDS often causes global developmental delays due to immune and neurological impact.
Question 3 of 5
A 2 month-old infant has both a cleft lip and palate which will be repaired in stages. In the immediate postoperative period for a cleft lip repair, which nursing approach should be the priority?
Correct Answer: C
Rationale: Suture line care prevents infection, a priority post-cleft lip repair.
Question 4 of 5
A client with asthma has low pitched wheezes present on the final half of exhalation. One hour later the client has high pitched wheezes extending throughout exhalation. This change in assessment indicates to the nurse that the client
Correct Answer: A
Rationale: High-pitched, prolonged wheezes indicate worsening airway narrowing.
Question 5 of 5
The nurse is caring for a woman 2 hours after a vaginal delivery. Documentation indicates that the membranes were ruptured for 36 hours prior to delivery. What is the priority nursing diagnoses at this time?
Correct Answer: D
Rationale: Prolonged rupture increases infection risk, a priority post-delivery.