ATI LPN
Patient Comfort Questions Shadow Health Questions
Question 1 of 5
The nurse is caring for a client who requires a mechanical ventilator for breathing. The high pressure alarm goes off on the ventilator. What is the first action the nurse should perform?
Correct Answer: B
Rationale: Performing a quick assessment is the first action when a high pressure alarm sounds. It identifies causes like obstruction or resistance, per ventilator management. Disconnecting or calling follows, resetting masks issues. B ensures targeted response.
Question 2 of 5
A nurse is reinforcing teaching with a client about compromised host precautions. The client is receiving filgrastim (Neupogen) for neutropenia. Which lunch selection suggests the client has learned about necessary dietary changes?
Correct Answer: A
Rationale: Grilled chicken sandwich and skim milk suggests learning for neutropenia. Cooked foods reduce infection risk, per oncology nursing, while raw or processed items (B, C, D) pose hazards. A aligns with compromised host precautions.
Question 3 of 5
The nurse assesses several post partum women in the clinic. Which of the following women is at highest risk for puerperal infection?
Correct Answer: B
Rationale: A temperature of 101.2°F on day 2 suggests an acute infection, higher risk than prolonged low-grade fevers.
Question 4 of 5
A client is 2 days post operative. The vital signs are: BP - 120/70, HR -- 110 BPM, RR - 26, and Temperature - 100.4 degrees Fahrenheit (38 degrees Celsius). The client suddenly becomes profoundly short of breath, skin color is gray. Which assessment would have alerted the nurse first to the client's change in condition?
Correct Answer: B
Rationale: Tachypnea (RR 26) signals respiratory distress, an early sign of complications like pulmonary embolism.
Question 5 of 5
A nurse is caring for a client who is receiving methyldopa hydrochloride (Aldomet) intravenously. Which of the following assessment findings would indicate to the nurse that the client may be having an adverse reaction to the medication?
Correct Answer: B
Rationale: Mood changes (e.g., depression) are a known adverse effect of methyldopa, requiring monitoring.