ATI LPN
Providing Personal Care and Comfort Questions
Question 1 of 5
A client was admitted with a diagnosis of pneumonia. When auscultating the client's breath sounds, the nurse hears inspiratory crackles in the right base. Temperature is 102.3 degrees Fahrenheit orally. What other finding would the nurse expect?
Correct Answer: A
Rationale: Fever causes flushed skin due to vasodilation.
Question 2 of 5
A nurse is caring for a 2 year-old child after corrective surgery for Tetralogy of Fallot. The mother reports that the child has suddenly begun seizing. The nurse recognizes this problem is probably due to
Correct Answer: A
Rationale: Post-surgical hypoxia or emboli from Tetralogy repair can cause a CVA.
Question 3 of 5
A 16 year-old client is admitted to a psychiatric unit with a diagnosis of attempted suicide. The nurse is aware that the most frequent cause for suicide in adolescents is
Correct Answer: D
Rationale: Isolation and alienation are leading triggers for adolescent suicide.
Question 4 of 5
A client experiences post partum hemorrhage eight hours after the birth of twins. Following administration of IV fluids and 500 ml of whole blood, her hemoglobin and hematocrit are within normal limits. She asks the nurse whether she should continue to breast feed the infants. Which of the following is based on sound rationale?
Correct Answer: A
Rationale: Breastfeeding stimulates oxytocin, aiding uterine involution and reducing bleeding risk.
Question 5 of 5
While assessing a client in an outpatient facility with a panic disorder, the nurse completes a thorough health history and physical exam. Which finding is most significant for this client?
Correct Answer: B
Rationale: Impending doom is a hallmark symptom of panic disorder, indicating acute distress.