ATI LPN
Patient Comfort Questions Questions
Question 1 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 2 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.
Question 3 of 5
A client has just been admitted with portal hypertension. Which nursing diagnosis would be a priority in planning care?
Correct Answer: B
Rationale: Hemorrhage risk from esophageal varices is life-threatening in portal hypertension.
Question 4 of 5
Which of these variations in the newborn results from the presence of maternal hormones?
Correct Answer: A
Rationale: Breast engorgement in newborns is due to maternal estrogen exposure.
Question 5 of 5
When using an interpreter to teach a client about a procedure to do in the home, the nurse should take which approach?
Correct Answer: D
Rationale: Facing the client maintains engagement while the interpreter translates.