ATI LPN
Shadow Health Patient Comfort Questions Questions
Question 1 of 5
The nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD) who is beginning oxygen therapy at 2 L/min via nasal cannula. Which finding would be of most concern to the nurse?
Correct Answer: D
Rationale: Pulse rate of 100 is most concerning with new oxygen in COPD. Tachycardia may signal hypoxia or distress, needing prompt evaluation, per ABCs. RR 20 , SpO2 90% , and dyspnea are typical. D indicates instability, making it priority.
Question 2 of 5
A 72 year-old client with osteomyelitis requires a 6 week course of intravenous antibiotics. In planning for home care, what is the most important action by the nurse?
Correct Answer: C
Rationale: Assessing the client's ability to participate in self-care or caregiver reliability is most important. Successful home IV antibiotic therapy for osteomyelitis hinges on consistent administration and monitoring, per home health standards. Insurance is logistical, hand washing is secondary, and device selection follows capability assessment. C ensures treatment adherence and safety.
Question 3 of 5
Alcohol and drug abuse impairs judgment and increases risk taking behavior. What nursing diagnosis best applies?
Correct Answer: A
Rationale: Risk for injury best applies to impaired judgment and risk-taking from substance abuse, per NANDA-I. It prioritizes safety, addressing potential harm. Knowledge deficit , thought process , and self-esteem may coexist but A captures the immediate risk requiring intervention.
Question 4 of 5
A nurse is eating in the hospital cafeteria when a toddler at a nearby table chokes on a piece of food and appears slightly blue. The appropriate initial action should be to
Correct Answer: C
Rationale: Performing 5 abdominal thrusts is the initial action for a choking toddler, per pediatric BLS guidelines. It dislodges the obstruction swiftly. Mouth-to-mouth is post-clearance, water worsens choking, and calling delays care. C prioritizes airway clearance.
Question 5 of 5
The nurse is planning care for a client during the acute phase of a sickle cell vaso-occlusive crisis. Which of the following actions would be most appropriate?
Correct Answer: C
Rationale: Administering analgesic therapy as ordered is most appropriate in acute sickle cell crisis. Pain from vaso-occlusion requires prompt relief, per hematology standards. Fluid restriction worsens viscosity, ambulation may increase pain, and calories are secondary. C prioritizes comfort.