ATI LPN
Patient Comfort Questions Questions
Question 1 of 5
A client is diagnosed with methicillin resistant staphylococcus aureus pneumonia (MRSA). What type of isolation is most appropriate for this client?
Correct Answer: D
Rationale: Contact isolation is most appropriate for MRSA pneumonia. It prevents transmission via touch or surfaces, per infection control standards. Reverse protects the client, airborne is for TB, standard isn't enough. D matches MRSA spread.
Question 2 of 5
If a very active two year-old client pulls his tunneled central venous catheter out, what initial nursing action is appropriate?
Correct Answer: C
Rationale: Prevents bleeding from the site; pressure is the immediate priority to control hemorrhage.
Question 3 of 5
A client with a fracture of the radius had a plaster cast applied 2 days ago. The client complains of constant pain and swelling of the fingers. The first action of the nurse should be
Correct Answer: C
Rationale: Assessing capillary refill checks for compartment syndrome, a priority before other interventions.
Question 4 of 5
A post-operative client has a prescription for acetaminophen with codeine. What should the nurse recognizes as a primary effect of this combination?
Correct Answer: A
Rationale: Combining acetaminophen and codeine enhances analgesia through synergistic effects.
Question 5 of 5
The nurse is applying silver sulfadiazine (Silvadene) to a child with severe burns to arms and legs. Which side effect should the nurse be monitoring for?
Correct Answer: D
Rationale: Sulfa drugs can crystallize in urine, risking renal damage.