ATI LPN
Providing Personal Care and Comfort Questions
Question 1 of 5
After an explosion at a factory one of the employees approaches the nurse and says 'I am an unlicensed assistive personnel (UAP) at the local hospital.' Which of these tasks should the nurse assign first to this worker who wants to help care for the wounded workers?
Correct Answer: C
Rationale: Palpating pulses should be assigned first. It quickly assesses circulation in trauma, per triage priorities, suitable for a UAP's skills. Temperatures and BP are slower, alertness needs RN judgment. C aids rapid screening.
Question 2 of 5
The nurse is caring for a client on complete bed rest. Which action by the nurse is most important in preventing the formation of deep vein thrombosis?
Correct Answer: C
Rationale: Passive range-of-motion exercises promote venous return, reducing DVT risk more effectively than static measures alone.
Question 3 of 5
A client returns from the operating room after a right orchiectomy. For the immediate post-operative period the nursing priority would be to
Correct Answer: B
Rationale: Pain management enhances recovery and prevents complications like immobility post-surgery.
Question 4 of 5
The nurse performs an assessment during a fluid exchange for the client who is 48 hours post-insertion of an abdominal Tenckhoff catheter for peritoneal dialysis. The nurse knows that the appearance of which of the following needs to be reported to the provider immediately?
Correct Answer: D
Rationale: Cloudy drainage suggests infection (peritonitis), a serious complication requiring immediate attention.
Question 5 of 5
The health care provider orders an IV aminophylline infusion at 30 mg/hr. The pharmacy sends a 1,000 ml bag of D5W containing 500 mg of aminophylline. In order to administer 30 mg per hour, the RN will set the infusion rate at:
Correct Answer: D
Rationale: Calculation: (30 mg/hr -500 mg) × 1000 ml = 60 ml/hr.