ATI LPN
Providing Personal Care and Comfort Questions
Question 1 of 5
Postoperative orders for a client undergoing a mitral valve replacement include monitoring pulmonary artery pressure together with pulmonary capillary wedge pressure with a pulmonary artery catheter. The purpose of these actions by the nurse is to assess
Correct Answer: B
Rationale: Wedge pressure reflects left ventricular preload, critical post-mitral surgery.
Question 2 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 3 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 4 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 5 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.