ATI LPN
Patient Comfort Questions Questions
Question 1 of 5
The nurse is assessing a client with portal hypertension. Which of the following findings would the nurse expect?
Correct Answer: C
Rationale: Ascites results from increased portal pressure in liver disease.
Question 2 of 5
While assessing an Rh positive newborn whose mother is Rh negative, the nurse recognizes the risk for hyperbilirubinemia. Which of the following should be reported immediately?
Correct Answer: A
Rationale: Jaundice within 24-48 hours suggests hemolytic disease from Rh incompatibility, requiring urgent action.
Question 3 of 5
During the care of a client with Legionnaire's disease, which finding would require the nurse's immediate attention?
Correct Answer: D
Rationale: Reduced chest expansion suggests worsening respiratory distress, critical in Legionnaire's.
Question 4 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 5 of 5
A female client diagnosed with genital herpes simplex virus 2 (HSV 2) complains of dysuria, dyspareunia, leukorrhea and lesions on the labia and perianal skin. A primary nursing action with the focus of comfort should be to
Correct Answer: A
Rationale: Sitz baths reduce pain and inflammation from HSV lesions.