ATI LPN
Shadow Health Patient Comfort Questions Questions
Question 1 of 5
Alcohol and drug abuse impairs judgment and increases risk taking behavior. What nursing diagnosis best applies?
Correct Answer: A
Rationale: Risk for injury best applies to impaired judgment and risk-taking from substance abuse, per NANDA-I. It prioritizes safety, addressing potential harm. Knowledge deficit , thought process , and self-esteem may coexist but A captures the immediate risk requiring intervention.
Question 2 of 5
The nurse is planning care for a client during the acute phase of a sickle cell vaso-occlusive crisis. Which of the following actions would be most appropriate?
Correct Answer: C
Rationale: Administering analgesic therapy as ordered is most appropriate in acute sickle cell crisis. Pain from vaso-occlusion requires prompt relief, per hematology standards. Fluid restriction worsens viscosity, ambulation may increase pain, and calories are secondary. C prioritizes comfort.
Question 3 of 5
A client refuses to take the medication prescribed because the client prefers to take self-prescribed herbal preparations. What is the initial action the nurse should take?
Correct Answer: B
Rationale: Talking with the client about the herbal preparation is the initial action. It assesses preferences and builds trust, per therapeutic communication. Reporting or contacting skips understanding, and explaining may dismiss concerns. B informs subsequent steps.
Question 4 of 5
What is the major developmental task that the mother must accomplish during the first trimester of pregnancy?
Correct Answer: A
Rationale: Acceptance of the pregnancy is the major task in the first trimester. It establishes maternal role foundation, per developmental theory. Termination is situational, fetus acceptance is later, and fears are ongoing. A is the initial step.
Question 5 of 5
The nurse is caring for a client with a deep vein thrombosis. Which finding would require the nurse's immediate attention?
Correct Answer: C
Rationale: Respiratory rate of 32 requires immediate attention in DVT. Tachypnea suggests pulmonary embolism, per vascular nursing. Fever indicates infection, pulse is normal, and BP is concerning but secondary. C prioritizes life-threatening complications.