ATI LPN
Providing Personal Care and Comfort Questions
Question 1 of 5
A client with moderate persistent asthma is admitted for a minor surgical procedure. On admission the peak flow meter is measured at 480 liters/minute. Post-operatively the client is complaining of chest tightness. The peak flow has dropped to 200 liters/minute. What should the nurse do first?
Correct Answer: B
Rationale: Administering prn albuterol is first for asthma with peak flow drop to 200 L/min. Bronchoconstriction needs rapid relief; albuterol opens airways, per protocol. Notification , oxygen , or repeat delay care. B prioritizes airway, making it initial.
Question 2 of 5
The nurse is preparing a handout on infant feeding to be distributed to families visiting the clinic. Which notation should be included in the teaching materials?
Correct Answer: A
Rationale: Solid foods introduced one at a time beginning with cereal' should be included. It prevents allergies, per AAP, starting at 6 months. Meat , egg white , and bottle mixing are wrong. A guides feeding, making it correct.
Question 3 of 5
The spouse of a client who has just been diagnosed with lung cancer says to the nurse, 'I guess all those years of smoking have come back to haunt us.' Which response by the nurse would be most therapeutic?
Correct Answer: B
Rationale: Tell me how you are feeling about this diagnosis' is most therapeutic. It invites emotional expression, supporting coping, per communication standards. Agreeing , reassuring , or minimizing dismiss feelings. B builds rapport, aiding grief processing, making it the best response.
Question 4 of 5
The nurse is caring for a client who is receiving a blood transfusion. Fifteen minutes after the transfusion is started, the client reports itching over the trunk and arms. Which action should the nurse take first?
Correct Answer: B
Rationale: Stopping the transfusion and running saline is first for itching during transfusion. It halts a potential allergic reaction, per protocol, preserving IV access. Slowing delays, notifying or medicating follows. B prevents escalation, making it priority.
Question 5 of 5
The nurse is preparing a client for a colonoscopy. Which instruction should the nurse include to reduce the risk of complications?
Correct Answer: A
Rationale: Avoid eating solid food for 24 hours before' reduces colonoscopy risks. Clear bowels minimize perforation or obstruction, per prep standards. Meds may be held, milk obscures view, and pain reporting is post-procedure. A ensures safety, making it key.