ATI LPN
Providing Personal Care and Comfort Questions
Question 1 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 2 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.
Question 3 of 5
A client experiences post partum hemorrhage eight hours after the birth of twins. Following administration of IV fluids and 500 ml of whole blood, her hemoglobin and hematocrit are within normal limits. She asks the nurse whether she should continue to breast feed the infants. Which of the following is based on sound rationale?
Correct Answer: A
Rationale: Breastfeeding stimulates oxytocin, aiding uterine involution and reducing bleeding risk.
Question 4 of 5
While assessing a client in an outpatient facility with a panic disorder, the nurse completes a thorough health history and physical exam. Which finding is most significant for this client?
Correct Answer: B
Rationale: Impending doom is a hallmark symptom of panic disorder, indicating acute distress.
Question 5 of 5
The nurse is planning care for a client with pneumococcal pneumonia. Which of the following would be most effective in removing respiratory secretions?
Correct Answer: B
Rationale: Hydration thins secretions, aiding their removal in pneumonia.