ATI LPN
Providing Personal Care and Comfort Questions
Question 1 of 5
At a nursing staff meeting, there is discussion of perceived inequities in weekend staff assignments. As a follow-up, the nurse manager should initially
Correct Answer: B
Rationale: Clarifying rationale addresses concerns and sets the stage for discussion.
Question 2 of 5
A client was admitted with a diagnosis of pneumonia. When auscultating the client's breath sounds, the nurse hears inspiratory crackles in the right base. Temperature is 102.3 degrees Fahrenheit orally. What other finding would the nurse expect?
Correct Answer: A
Rationale: Fever causes flushed skin due to vasodilation.
Question 3 of 5
In a long term rehabilitation care unit, a client with spinal cord injury complains of a pounding headache. The client is sitting in a wheelchair watching television. Further assessment by the nurse reveals excessive sweating, a splotchy rash, pilomotor erection, facial flushing, congested nasal passages and a heart rate of 50. The nurse should perform which action next?
Correct Answer: C
Rationale: Symptoms suggest autonomic dysreflexia, often triggered by bladder distention.
Question 4 of 5
A nurse is caring for a 2 year-old child after corrective surgery for Tetralogy of Fallot. The mother reports that the child has suddenly begun seizing. The nurse recognizes this problem is probably due to
Correct Answer: A
Rationale: Post-surgical hypoxia or emboli from Tetralogy repair can cause a CVA.
Question 5 of 5
A 16 year-old client is admitted to a psychiatric unit with a diagnosis of attempted suicide. The nurse is aware that the most frequent cause for suicide in adolescents is
Correct Answer: D
Rationale: Isolation and alienation are leading triggers for adolescent suicide.