ATI LPN
Patient Comfort Questions Questions
Question 1 of 5
In the Emergency Department waiting room, you notice a patient sitting, with his head in his hands, who has been waiting for about 5 hours for relief of his headache. When you approach him to ask him how he is doing, he says, I cant believe that I have to wait this long for help! Do you know what it is like to be in pain for 10 hours? Your response to him would be:
Correct Answer: A
Rationale: Empathy de-escalates potential aggression by validating the patient's feelings.
Question 2 of 5
What do you think is the most important nursing order in a client with major head trauma who is about to receive bolus enteral feeding?
Correct Answer: A
Rationale: Measuring intake and output is the most important order for a head trauma client receiving bolus enteral feeding, per the document. Enteral feeds, being hyperosmotic, draw fluid into the vascular bed, risking diuresis. Monitoring I&O ensures fluid balance, critical with head injuries where cerebral edema is a concern. Albumin levels assess nutrition long-term, not acutely. Glucose monitoring is relevant but secondary to fluid status. Increasing feeding could worsen imbalance. I&O directly addresses immediate risks, guiding adjustments to prevent complications like dehydration or overhydration, making it the priority.
Question 3 of 5
Which statement best describes the effects of immobility in children?
Correct Answer: B
Rationale: Immobility in children mirrors adults' physical effects , per the document, including atrophy, contractures, and skin breakdown, with secondary cardiovascular and respiratory changes. Language/motor delay isn't physical. Greater susceptibility or prolonged immobility lacks evidence here. B reflects consistent physiological impacts, making it the best description.
Question 4 of 5
The nurse is caring for a 7 year-old with acute glomerulonephritis (AGN). Findings include moderate edema and oliguria. Serum blood urea nitrogen and creatinine are elevated. What dietary modifications are most appropriate?
Correct Answer: B
Rationale: Decreased sodium and potassium is most appropriate for AGN with edema, oliguria, and elevated BUN/creatinine. Sodium restriction reduces fluid retention, easing edema, while potassium restriction prevents hyperkalemia from reduced renal clearance. Decreased carbs/fat is irrelevant to renal function. Increased potassium/protein risks toxicity and uremia. Increased sodium/fluids worsens edema. B aligns with AGN management, supporting renal recovery, making it the best modification.
Question 5 of 5
A nurse is working with a client in an extended care facility. Which bed position is preferred for a client, who is at risk for falls, as part of a prevention protocol?
Correct Answer: D
Rationale: Bed in lowest position, wheels locked, against the wall is preferred for fall prevention. Low height minimizes injury risk, locked wheels ensure stability, and wall placement reduces access points. Four rails are a restraint, not prevention. Lower rails or bent knees don't optimize safety. D follows safety protocols, reducing fall risk, making it the best position.