ATI LPN
Patient Comfort Questions Questions
Question 1 of 5
On admission to the hospital a client with an acute asthma episode has intermittent nonproductive coughing and a pulse oximeter reading of 88%. The client states, 'I feel like this is going to be a bad time this admission. I wish I would not have gone into that bar with all those people who smoke last night.' Which nursing diagnoses would be most important for this client?
Correct Answer: D
Rationale: Pulse oximetry of 88% indicates impaired gas exchange, the most urgent issue.
Question 2 of 5
A client is admitted with a distended bladder due to the inability to void. The nurse obtains an order to catheterize the client, and is aware that gradual emptying is preferred over complete emptying because it reduces the
Correct Answer: B
Rationale: Rapid emptying can cause hypovolemic shock from sudden pressure shifts.
Question 3 of 5
A client is receiving oxygen therapy via a nasal cannula. When providing nursing care, which of the following interventions would be appropriate?
Correct Answer: B
Rationale: Cannula use can cause skin irritation; inspection prevents breakdown.
Question 4 of 5
The nurse is evaluating the growth and development of a toddler with AIDS. The nurse would anticipate finding that the child has
Correct Answer: D
Rationale: AIDS often causes global developmental delays due to immune and neurological impact.
Question 5 of 5
A 2 month-old infant has both a cleft lip and palate which will be repaired in stages. In the immediate postoperative period for a cleft lip repair, which nursing approach should be the priority?
Correct Answer: C
Rationale: Suture line care prevents infection, a priority post-cleft lip repair.