ATI LPN
Patient Comfort Questions Questions
Question 1 of 5
A mother telephones the clinic and says 'I am worried because my breast-fed 1 month-old infant has soft, yellow stools after each feeding.' The nurse's best response would be which of these?
Correct Answer: A
Rationale: This type of stool is normal for breast-fed infants' is best. Soft, yellow stools are typical in breast-fed 1-month-olds, per pediatric nutrition. Brown stools apply to formula, supplements or water aren't needed. A reassures accurately.
Question 2 of 5
The nurse is caring for a client undergoing the placement of a central venous catheter line. Which of the following would require the nurse's immediate attention?
Correct Answer: C
Rationale: Dyspnea requires immediate attention during central venous catheter placement. It suggests pneumothorax or air embolism, per critical care standards. Pallor , fever , and spasms are less urgent. C addresses a potentially fatal complication.
Question 3 of 5
A client is diagnosed with methicillin resistant staphylococcus aureus pneumonia (MRSA). What type of isolation is most appropriate for this client?
Correct Answer: D
Rationale: Contact isolation is most appropriate for MRSA pneumonia. It prevents transmission via touch or surfaces, per infection control standards. Reverse protects the client, airborne is for TB, standard isn't enough. D matches MRSA spread.
Question 4 of 5
Which approach is the best way to prevent infections when providing care to clients in the home setting?
Correct Answer: A
Rationale: Handwashing before and after examination is the best way to prevent infections in home care. It's the cornerstone of infection control, per CDC guidelines, reducing pathogen spread. Gloves , barriers , and masks supplement but handwashing is primary. A ensures universal protection.
Question 5 of 5
If a very active two year-old client pulls his tunneled central venous catheter out, what initial nursing action is appropriate?
Correct Answer: C
Rationale: Prevents bleeding from the site; pressure is the immediate priority to control hemorrhage.