ATI LPN
Providing Personal Care and Comfort Questions
Question 1 of 5
The nurse is caring for a client on complete bed rest. Which action by the nurse is most important in preventing the formation of deep vein thrombosis?
Correct Answer: C
Rationale: Passive range-of-motion exercises promote venous return, reducing DVT risk more effectively than static measures alone.
Question 2 of 5
The nurse performs an assessment during a fluid exchange for the client who is 48 hours post-insertion of an abdominal Tenckhoff catheter for peritoneal dialysis. The nurse knows that the appearance of which of the following needs to be reported to the provider immediately?
Correct Answer: D
Rationale: Cloudy drainage suggests infection (peritonitis), a serious complication requiring immediate attention.
Question 3 of 5
The health care provider orders an IV aminophylline infusion at 30 mg/hr. The pharmacy sends a 1,000 ml bag of D5W containing 500 mg of aminophylline. In order to administer 30 mg per hour, the RN will set the infusion rate at:
Correct Answer: D
Rationale: Calculation: (30 mg/hr -500 mg) × 1000 ml = 60 ml/hr.
Question 4 of 5
The provider has ordered daily high doses of aspirin for a client with rheumatoid arthritis. The nurse instructs the client to discontinue the medication and contact the provider if which of the following symptoms occur?
Correct Answer: D
Rationale: Tinnitus is an early sign of aspirin toxicity, requiring immediate cessation.
Question 5 of 5
A client is receiving digitalis. The nurse should instruct the client to report which of the following side effects?
Correct Answer: A
Rationale: These are early signs of digitalis toxicity, requiring prompt reporting.