ATI LPN
Patient Comfort Questions Shadow Health Questions
Question 1 of 5
A client who is receiving IV gentamicin for a wound infection says to the nurse, 'I've been having some trouble hearing lately.' Which action should the nurse take first?
Correct Answer: B
Rationale: Notifying the provider immediately is first. Hearing trouble with gentamicin suggests ototoxicity, a serious side effect needing urgent review, per protocol. Asking , documenting , or assessing delays intervention. B ensures safety, making it priority.
Question 2 of 5
A client is admitted to the rehabilitation unit following a cerebral vascular accident (CVA) and mild dysphagia. The most appropriate intervention for this client is to
Correct Answer: A
Rationale: Positioning upright while eating is most appropriate for mild dysphagia post-CVA. It reduces aspiration risk by leveraging gravity, per stroke care protocols. Clear liquids may increase aspiration if swallowing is impaired, tilting head back worsens risk by opening the airway, and finger foods require more coordination than mild dysphagia permits. A enhances safety and swallowing efficacy.
Question 3 of 5
In planning care for a 6 month-old infant, what must the nurse provide to assist in the development of trust?
Correct Answer: C
Rationale: Security assists trust development in a 6-month-old. Per Erikson's trust vs. mistrust stage, consistent, reliable care builds trust, per developmental theory. Food , warmth , and comfort contribute but security encompasses predictability and safety, foundational for trust.
Question 4 of 5
The emergency room nurse admits a child who experienced a seizure at school. The parent comments that this is the first occurrence and denies any family history of epilepsy. What is the best response by the nurse?
Correct Answer: B
Rationale: The seizure may or may not mean your child has epilepsy' is best. A single seizure doesn't confirm epilepsy, requiring further evaluation, per neurology standards. A assumes diagnosis, C oversimplifies, and D overpromises. B educates accurately, reducing anxiety.
Question 5 of 5
Parents of a 6 month-old breast fed baby ask the nurse about increasing the baby's diet. Which of the following should be added first?
Correct Answer: A
Rationale: Cereal should be added first at 6 months. Iron-fortified cereal meets nutritional needs and developmental readiness, per AAP guidelines. Eggs and meat risk allergies, juice lacks priority nutrients. A supports healthy growth.