ATI LPN
Providing Personal Care and Comfort Questions
Question 1 of 5
The nurse is caring for a client who is receiving a blood transfusion. Fifteen minutes after the transfusion is started, the client reports itching over the trunk and arms. Which action should the nurse take first?
Correct Answer: B
Rationale: Stopping the transfusion and running saline is first for itching during transfusion. It halts a potential allergic reaction, per protocol, preserving IV access. Slowing delays, notifying or medicating follows. B prevents escalation, making it priority.
Question 2 of 5
The nurse notes that a 2 year-old child recovering from a tonsillectomy has an temperature of 98.2 degrees Fahrenheit at 8:00 AM. At 10:00 AM the child's parent reports that the child 'feels very warm' to touch. The first action by the nurse should be to
Correct Answer: C
Rationale: Reassessing the temperature is the first action. A parent's report of 'feels very warm' suggests possible fever post-tonsillectomy, requiring objective confirmation before intervention, per pediatric nursing standards. Reassurance without data is premature, fluids don't address the cause, and acetaminophen requires fever verification to avoid masking symptoms. C ensures accurate assessment, guiding subsequent care.
Question 3 of 5
Delirium tremens could best be described as
Correct Answer: C
Rationale: Delirium tremens is an excited state with disorientation, hallucinations, and tachycardia, a severe alcohol withdrawal syndrome, per addiction nursing. A fits dementia, B isn't specific, and D describes seizures. C matches the acute, life-threatening presentation requiring intervention.
Question 4 of 5
A child is sent to the school nurse by a teacher who has a written note that fifth disease is suspected. Which characteristic would the nurse expect to find?
Correct Answer: B
Rationale: Erythema on the cheeks with a 'slapped face' appearance is characteristic of fifth disease (parvovirus B19), per pediatric nursing. Vesicles suggest varicella, rose pink macules fit roseola, and Koplik spots indicate measles. B confirms the suspected diagnosis.
Question 5 of 5
The nurse is assessing a client in the emergency room. Which statement suggests that the problem is acute angina?
Correct Answer: A
Rationale: My pain is deep in my chest behind my breast bone' suggests acute angina. Substernal pain is classic, per cardiac assessment. Sitting or breathing worsening pain leans toward pleuritic causes, and stomach suggests GI issues. A aligns with angina's hallmark.