ATI LPN
Patient Comfort Questions Shadow Health Questions
Question 1 of 5
A nurse is reinforcing teaching with a client about compromised host precautions. The client is receiving filgrastim (Neupogen) for neutropenia. Which lunch selection suggests the client has learned about necessary dietary changes?
Correct Answer: A
Rationale: Grilled chicken sandwich and skim milk suggests learning for neutropenia. Cooked foods reduce infection risk, per oncology nursing, while raw or processed items (B, C, D) pose hazards. A aligns with compromised host precautions.
Question 2 of 5
A client is 2 days post operative. The vital signs are: BP - 120/70, HR -- 110 BPM, RR - 26, and Temperature - 100.4 degrees Fahrenheit (38 degrees Celsius). The client suddenly becomes profoundly short of breath, skin color is gray. Which assessment would have alerted the nurse first to the client's change in condition?
Correct Answer: B
Rationale: Tachypnea (RR 26) signals respiratory distress, an early sign of complications like pulmonary embolism.
Question 3 of 5
A nurse is caring for a client who is receiving methyldopa hydrochloride (Aldomet) intravenously. Which of the following assessment findings would indicate to the nurse that the client may be having an adverse reaction to the medication?
Correct Answer: B
Rationale: Mood changes (e.g., depression) are a known adverse effect of methyldopa, requiring monitoring.
Question 4 of 5
The nurse is caring for a client who is receiving procainamide (Pronestyl) intravenously. It is important for the nurse to monitor which of the following parameters?
Correct Answer: C
Rationale: Procainamide treats arrhythmias; continuous EKG monitoring detects efficacy or toxicity.
Question 5 of 5
The nurse is caring for a client with schizophrenia who has been treated with quetiapine (Seroquel) for 1 month. Today the client is increasingly agitated and complains of muscle stiffness. Which of these findings should be reported to the health care provider?
Correct Answer: A
Rationale: Fever and sweating suggest neuroleptic malignant syndrome, a life-threatening reaction.