ATI LPN
Shadow Health Patient Comfort Questions Questions
Question 1 of 5
A client with Parkinson's disease may need assistance with:
Correct Answer: D
Rationale: Parkinson's impairs motor skills, needing help with eating from tremors, walking from rigidity, and dressing from coordination loss all true, per care plans. 'All of the above' reflects this broad impact. PSWs provide this support, making it the correct and comprehensive answer.
Question 2 of 5
Sarah is involved in intervening when a patient attempts to harm herself on the unit. During the interaction, the patient slaps Sarah across the face. As a head nurse, it is important that you:
Correct Answer: B
Rationale: Documentation and counseling support Sarah post-incident.
Question 3 of 5
Which of the following interventions will help lessen the effect of GERD (acid reflux)?
Correct Answer: A
Rationale: Elevating the head of the bed on 4-6 inch blocks lessens GERD effects, per the document, by using gravity to prevent acid backflow into the esophagus. Lying down after eating worsens reflux by allowing fluid to flow uphill. Increased bedtime fluids heighten reflux risk via abdominal pressure. A girdle increases pressure, exacerbating symptoms. Elevation is a standard, evidence-based intervention, reducing LES pressure and symptom severity, especially at night, making it the most effective choice.
Question 4 of 5
A nurse is assessing several clients in a long term health care facility. Which client is at highest risk for development of decubitus ulcers?
Correct Answer: A
Rationale: A 79-year-old malnourished client on bed rest is at highest risk for decubitus ulcers, per the document, due to low weight increasing bony prominence pressure, immobility, and poor nutrition impairing skin integrity. Obesity adds pressure but allows mobility. Incontinence risks skin breakdown but is less severe here. Ambulatory status reduces risk. A combines key factors, making it the highest risk.
Question 5 of 5
What finding of the nursing assessment of a paralyzed client would indicate the probable presence of a fecal impaction?
Correct Answer: B
Rationale: Oozing liquid stool indicates probable fecal impaction in a paralyzed client. Immobility slows peristalsis, hardening stool; liquid seeps around the blockage, a classic sign. Blood suggests trauma, not impaction. Flatulence reflects gas, not obstruction. Absent bowel movements are expected in paralysis but nonspecific. B aligns with impaction pathophysiology, requiring intervention like disimpaction, making it the key finding.