ATI LPN
Patient Comfort Questions Questions
Question 1 of 5
A client with a diagnosis of bipolar disorder has been referred to a local boarding home for consideration for placement. The social worker telephoned the hospital unit for information about the client's mental status and adjustment. The appropriate response of the nurse should be which of these statements?
Correct Answer: D
Rationale: I need the client's written consent' is appropriate. HIPAA requires consent for PHI release, unlike provider-only , phone refusal , or open sharing . D protects privacy, making it correct.
Question 2 of 5
A client has been admitted with a fractured femur and has been placed in skeletal traction. Which of the following nursing interventions should receive priority?
Correct Answer: B
Rationale: Frequent neurovascular assessments are priority in skeletal traction. They detect compartment syndrome or nerve damage, critical post-fracture. Alignment , pin sites , and trapeze follow. B ensures safety, making it key.
Question 3 of 5
The nurse planning care for a 12 year-old child with sickle cell disease in a vaso-occlusive crisis of the elbow should include which one of the following as a priority?
Correct Answer: B
Rationale: Client-controlled analgesia is priority in sickle cell crisis. Pain from vaso-occlusion needs immediate relief, per standards. Fluid restriction , cold , or exercise worsen it. B manages pain, making it key.
Question 4 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 5 of 5
The nurse is assessing a client with a history of heart failure who reports gaining 3 pounds since yesterday. Which additional finding would be of most concern to the nurse?
Correct Answer: C
Rationale: Crackles in lower lobes are most concerning with a 3-pound gain in heart failure. They indicate pulmonary edema from fluid overload, needing urgent care, per pathophysiology. Pillows , BP , and no dyspnea are less acute. C signals decompensation, making it priority.