ATI LPN
Providing Personal Care and Comfort Questions
Question 1 of 5
The nurse is caring for an elderly woman who has had a fractured hip repaired. In the first few days following the surgical repair, which of the following nursing measures will best facilitate the resumption of activities for this client?
Correct Answer: D
Rationale: Encouraging the use of an overhead trapeze best facilitates activity resumption post-hip repair, per the document. It promotes movement in bed and strengthens upper extremities, preparing for ambulation while preventing immobility hazards like muscle atrophy. A wheelchair requires excessive hip flexion early on, risking strain. Family visits boost morale but don't aid physical activity. Sitting out of bed qid also demands too much hip flexion initially; low Fowler's or walker-assisted steps are safer. The trapeze aligns with early rehab goals, enhancing mobility and joint function without overexertion, making it the optimal measure.
Question 2 of 5
The nurse has been teaching a client with congestive heart failure about proper nutrition. Which of these lunch selections indicates the client has learned about sodium restriction?
Correct Answer: B
Rationale: A glucose sandwich with 2% milk indicates sodium restriction learning. Congestive heart failure requires low sodium to prevent fluid retention; cheese (A, C) and pizza are high-sodium (~500-1000 mg/serving), worsening edema. Glucose (likely a typo for a low-sodium item) and milk (~120 mg/cup) are lower, aligning with restrictions (<2000 mg/day). B best reflects understanding, avoiding sodium-rich options, making it the correct choice.
Question 3 of 5
Constipation is one of the most frequent complaints of elders. When assessing this problem, which action should be the nurse's priority?
Correct Answer: B
Rationale: Obtaining a health and dietary history is the priority for assessing constipation in elders. It identifies causes (e.g., low fiber, meds) for tailored intervention. Blood count or exam may follow but aren't initial. Height/weight is unrelated. B aligns with nursing process, addressing root causes, making it the first step.
Question 4 of 5
A practical nurse (PN) from the pediatric unit is assigned to work in a critical care unit. Which client assignment would be appropriate?
Correct Answer: D
Rationale: A 35-year-old in balanced traction 6 days post-MVA is appropriate for a PN. Stable orthopedic care aligns with PN skills, unlike critical trauma , acute stroke , or cardiac arrest , which need RN expertise. D matches PN scope, making it suitable.
Question 5 of 5
The nurse in a same-day surgery unit assigns the unlicensed assistive personnel (UAP) to provide a hernia patient with a lunch tray. Which statement by the nurse is most appropriate?
Correct Answer: D
Rationale: Encourage the patient to eat slowly to prevent gas' is most appropriate. It supports post-op comfort within UAP scope. Pizza risks diet inconsistency, milk is specific, and stopping IV is RN-only. D aids recovery, making it the best statement.