ATI LPN
Patient Comfort Questions Shadow Health Questions
Question 1 of 5
The nurse is assessing a client with a suspected bowel obstruction. Which finding should the nurse report immediately to the health care provider?
Correct Answer: B
Rationale: High-pitched bowel sounds need immediate reporting in suspected bowel obstruction. They indicate hyperperistalsis from blockage, risking perforation, per pathophysiology. Nausea , mild pain , and 12-hour stool absence are less urgent. B signals progression, making it critical.
Question 2 of 5
A client with MRSA is placed on contact precautions. Which instruction should the nurse give to the unlicensed assistive personnel (UAP) assisting with care?
Correct Answer: B
Rationale: Wash hands with soap and water after removing gloves' is key for MRSA contact precautions. Soap removes spores, per CDC, unlike alcohol . Gloves/gown are standard, mask unnecessary unless airborne risk. B prevents spread, making it best.
Question 3 of 5
A client is admitted to the rehabilitation unit following a cerebral vascular accident (CVA) and mild dysphagia. The most appropriate intervention for this client is to
Correct Answer: A
Rationale: Positioning upright while eating is most appropriate for mild dysphagia post-CVA. It reduces aspiration risk by leveraging gravity, per stroke care protocols. Clear liquids may increase aspiration if swallowing is impaired, tilting head back worsens risk by opening the airway, and finger foods require more coordination than mild dysphagia permits. A enhances safety and swallowing efficacy.
Question 4 of 5
In planning care for a 6 month-old infant, what must the nurse provide to assist in the development of trust?
Correct Answer: C
Rationale: Security assists trust development in a 6-month-old. Per Erikson's trust vs. mistrust stage, consistent, reliable care builds trust, per developmental theory. Food , warmth , and comfort contribute but security encompasses predictability and safety, foundational for trust.
Question 5 of 5
The emergency room nurse admits a child who experienced a seizure at school. The parent comments that this is the first occurrence and denies any family history of epilepsy. What is the best response by the nurse?
Correct Answer: B
Rationale: The seizure may or may not mean your child has epilepsy' is best. A single seizure doesn't confirm epilepsy, requiring further evaluation, per neurology standards. A assumes diagnosis, C oversimplifies, and D overpromises. B educates accurately, reducing anxiety.