ATI LPN
Patient Comfort Questions Questions
Question 1 of 5
A client is receiving oxygen therapy via a nasal cannula. When providing nursing care, which of the following interventions would be appropriate?
Correct Answer: B
Rationale: Cannula use can cause skin irritation; inspection prevents breakdown.
Question 2 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 3 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 4 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.
Question 5 of 5
On admission to the psychiatric unit, the client is trembling and appears fearful. The nurse's initial response should be to
Correct Answer: B
Rationale: A personal introduction and escort reduce anxiety and build trust.