ATI LPN
Patient Comfort Questions Shadow Health Questions
Question 1 of 5
The nurse is performing a physical assessment on a toddler. Which of the following actions should be the first?
Correct Answer: B
Rationale: Using minimal physical contact is first for a toddler. It builds trust, reducing fear, per development. Traumatic procedures , head-to-toe , or explanation follow. B ensures cooperation, making it initial.
Question 2 of 5
A client who is receiving IV gentamicin for a wound infection says to the nurse, 'I've been having some trouble hearing lately.' Which action should the nurse take first?
Correct Answer: B
Rationale: Notifying the provider immediately is first. Hearing trouble with gentamicin suggests ototoxicity, a serious side effect needing urgent review, per protocol. Asking , documenting , or assessing delays intervention. B ensures safety, making it priority.
Question 3 of 5
A client with MRSA is placed on contact precautions. Which instruction should the nurse give to the unlicensed assistive personnel (UAP) assisting with care?
Correct Answer: B
Rationale: Wash hands with soap and water after removing gloves' is key for MRSA contact precautions. Soap removes spores, per CDC, unlike alcohol . Gloves/gown are standard, mask unnecessary unless airborne risk. B prevents spread, making it best.
Question 4 of 5
A client is admitted to the rehabilitation unit following a cerebral vascular accident (CVA) and mild dysphagia. The most appropriate intervention for this client is to
Correct Answer: A
Rationale: Positioning upright while eating is most appropriate for mild dysphagia post-CVA. It reduces aspiration risk by leveraging gravity, per stroke care protocols. Clear liquids may increase aspiration if swallowing is impaired, tilting head back worsens risk by opening the airway, and finger foods require more coordination than mild dysphagia permits. A enhances safety and swallowing efficacy.
Question 5 of 5
In planning care for a 6 month-old infant, what must the nurse provide to assist in the development of trust?
Correct Answer: C
Rationale: Security assists trust development in a 6-month-old. Per Erikson's trust vs. mistrust stage, consistent, reliable care builds trust, per developmental theory. Food , warmth , and comfort contribute but security encompasses predictability and safety, foundational for trust.