ATI LPN
Providing Personal Care and Comfort Questions
Question 1 of 5
The nurse is assigned to a newly delivered woman with HIV/AIDS. The student asks the nurse about how it is determined that a person has AIDS other than a positive HIV test. The nurse responds:
Correct Answer: C
Rationale: AIDS is defined by a CD4 count <200 or opportunistic infections.
Question 2 of 5
What is the primary purpose of using a trochanter roll for a patient?
Correct Answer: C
Rationale: A trochanter roll supports proper alignment of the hips and legs by preventing external rotation of the femurs, which can occur in bedridden patients. Placed along the thighs, it maintains neutral positioning, reducing strain on joints and preventing contractures or discomfort. Keeping the patient warm is a blanket's role, not a roll's. Immobilizing limbs is too broad trochanter rolls target specific alignment, not full restriction. Preventing talking is unrelated; it's a physical support tool. Nurses use this to promote musculoskeletal health, especially in immobile patients, ensuring long-term comfort and mobility preservation.
Question 3 of 5
When assisting a patient with range-of-motion exercises, what should the nurse aim to prevent?
Correct Answer: C
Rationale: During range-of-motion exercises, the nurse aims to prevent pain and contractures stiff, shortened joints that limit movement and cause discomfort common in immobile patients. These exercises maintain joint function and circulation, but overdoing them or ignoring patient feedback can hurt, while neglect leads to permanent stiffness. Muscle strengthening is a benefit, not a prevention target. Joint flexibility is the goal, not something to avoid. Shortness of breath might occur but isn't the primary focus pain and contractures are the key risks. Nurses balance gentle movement with patient tolerance, ensuring long-term mobility and comfort.
Question 4 of 5
When should a nurse provide mouth care for an unconscious patient?
Correct Answer: C
Rationale: Providing mouth care after meals and as needed for an unconscious patient prevents bacterial buildup, dry mouth, and infections like pneumonia, addressing immediate hygiene needs. Weekly care is too infrequent, risking oral health decline. Unconscious patients can't request care, making proactive nursing essential. Limiting to visiting hours ignores clinical necessity care timing reflects patient condition, not schedules. Nurses perform this frequently, using swabs or brushes, to maintain mucosal health and comfort, a vital task in dependent care to avert complications.
Question 5 of 5
When preparing to change a wound dressing, what should the nurse do first?
Correct Answer: B
Rationale: Washing hands and putting on sterile gloves first when changing a wound dressing establishes a clean field, preventing infection by removing germs and maintaining sterility during the procedure. Reusing gloves spreads pathogens, risking wound contamination. Exposing the wound delays care and invites airborne bacteria. Avoiding discussion misses a chance to ease patient anxiety communication is key, but hygiene precedes it. Nurses follow this sequence to align with aseptic technique, ensuring the wound heals without complications, a foundational step in infection control.