ATI LPN
Patient Comfort Questions Questions
Question 1 of 5
A client who is receiving a whole blood transfusion suddenly reports low back pain and dyspnea. Which action should the nurse take first?
Correct Answer: B
Rationale: Stopping the transfusion and keeping the vein open with saline is first. Back pain and dyspnea signal a transfusion reaction (e.g., hemolytic), needing immediate cessation per protocol. Slowing delays, calling or checking vitals follows. B stops harm, maintaining access, making it priority.
Question 2 of 5
The nurse is caring for a client with tuberculosis in an airborne isolation room. Which action by the nurse indicates a break in infection control precautions?
Correct Answer: A
Rationale: Wearing gown and gloves only breaks TB precautions. Airborne isolation requires an N95/HEPA mask to filter droplets, per CDC guidelines; gown/gloves alone insufficient. HEPA mask , handwashing , and closed door are correct. A risks transmission, making it the error.
Question 3 of 5
The nurse is caring for a client who was successfully resuscitated from a pulseless dysrhythmia. Which of the following assessments is critical for the nurse to include in the plan of care?
Correct Answer: A
Rationale: Hourly urine output is critical post-resuscitation from pulseless dysrhythmia. It monitors renal perfusion and cardiac output, reflecting hemodynamic stability after cardiac arrest, per critical care guidelines. White blood count assesses infection but isn't immediate, glucose is less urgent unless diabetic, and temperature detects fever but not organ function. A directly evaluates resuscitation success, detecting complications like acute kidney injury early.
Question 4 of 5
When providing nursing measures to relieve a 102-degree Fahrenheit fever in a toddler with an infection, what is the most effective intervention?
Correct Answer: A
Rationale: Using medications to lower the temperature set point is most effective. Antipyretics like acetaminophen reset the hypothalamic set point in a 102°F fever, addressing the cause, per pediatric standards. Clothing raises temperature, immersion risks shock, and sponging is adjunctive. A ensures safe, rapid fever reduction.
Question 5 of 5
While working with an obese adolescent, it is important for the nurse to recognize that obesity in adolescence is most often associated with what other finding?
Correct Answer: B
Rationale: Poor body image is most often associated with adolescent obesity, per pediatric psychology. It stems from societal stigma and self-esteem issues. Promiscuity , dropout , and drugs may occur but aren't primary. B guides holistic care planning.