ATI LPN
Patient Comfort Questions Questions
Question 1 of 5
The nurse is caring for a woman 2 hours after a vaginal delivery. Documentation indicates that the membranes were ruptured for 36 hours prior to delivery. What is the priority nursing diagnoses at this time?
Correct Answer: D
Rationale: Prolonged rupture increases infection risk, a priority post-delivery.
Question 2 of 5
A client has just been admitted with portal hypertension. Which nursing diagnosis would be a priority in planning care?
Correct Answer: B
Rationale: Hemorrhage risk from esophageal varices is life-threatening in portal hypertension.
Question 3 of 5
Which of these variations in the newborn results from the presence of maternal hormones?
Correct Answer: A
Rationale: Breast engorgement in newborns is due to maternal estrogen exposure.
Question 4 of 5
When using an interpreter to teach a client about a procedure to do in the home, the nurse should take which approach?
Correct Answer: D
Rationale: Facing the client maintains engagement while the interpreter translates.
Question 5 of 5
A client treated for depression tells the nurse at the mental health clinic that he recently purchased a handgun because he is thinking about suicide. The first nursing action should be to
Correct Answer: A
Rationale: Immediate provider notification ensures rapid intervention for suicide risk.