ATI LPN
Patient Comfort Questions Shadow Health Questions
Question 1 of 5
The nurse is assigned to care for a client who had a myocardial infarction (MI) 2 days ago. The client has many questions about this condition. What area is a priority for the nurse to discuss at this time?
Correct Answer: D
Rationale: Activity and rest guidelines are priority 2 days post-MI. They prevent strain, aiding recovery, per acute phase needs. Daily needs , rehab , and meds/diet follow. D ensures safety, making it key.
Question 2 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 3 of 5
A client who is receiving IV gentamicin for a wound infection says to the nurse, 'I've been having some trouble hearing lately.' Which action should the nurse take first?
Correct Answer: B
Rationale: Notifying the provider immediately is first. Hearing trouble with gentamicin suggests ototoxicity, a serious side effect needing urgent review, per protocol. Asking , documenting , or assessing delays intervention. B ensures safety, making it priority.
Question 4 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 5 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.