ATI LPN
Shadow Health Patient Comfort Questions Questions
Question 1 of 5
The nurse has just received a client from the emergency department who experienced blunt chest trauma in a motor vehicle crash. Which assessment finding requires immediate intervention by the nurse?
Correct Answer: D
Rationale: Trachea deviated to the right requires immediate intervention. It suggests tension pneumothorax from trauma, shifting mediastinum, needing urgent decompression per ABCs. Tachypnea , SpO2 94% , and bruising are less acute. D threatens airway, making it priority.
Question 2 of 5
The nurse is preparing to administer a medication via intramuscular injection. Which action should the nurse take to ensure client safety?
Correct Answer: A
Rationale: Aspirating after needle insertion ensures safety in IM injections. Blood return indicates vessel entry, preventing IV administration, per protocol. Quick injection risks tissue damage, 22-gauge varies by drug, and vigorous massage spreads medication. A prevents harm, making it key.
Question 3 of 5
A 72 year-old client with osteomyelitis requires a 6 week course of intravenous antibiotics. In planning for home care, what is the most important action by the nurse?
Correct Answer: C
Rationale: Assessing the client's ability to participate in self-care or caregiver reliability is most important. Successful home IV antibiotic therapy for osteomyelitis hinges on consistent administration and monitoring, per home health standards. Insurance is logistical, hand washing is secondary, and device selection follows capability assessment. C ensures treatment adherence and safety.
Question 4 of 5
Alcohol and drug abuse impairs judgment and increases risk taking behavior. What nursing diagnosis best applies?
Correct Answer: A
Rationale: Risk for injury best applies to impaired judgment and risk-taking from substance abuse, per NANDA-I. It prioritizes safety, addressing potential harm. Knowledge deficit , thought process , and self-esteem may coexist but A captures the immediate risk requiring intervention.
Question 5 of 5
A nurse is eating in the hospital cafeteria when a toddler at a nearby table chokes on a piece of food and appears slightly blue. The appropriate initial action should be to
Correct Answer: C
Rationale: Performing 5 abdominal thrusts is the initial action for a choking toddler, per pediatric BLS guidelines. It dislodges the obstruction swiftly. Mouth-to-mouth is post-clearance, water worsens choking, and calling delays care. C prioritizes airway clearance.