ATI LPN
Shadow Health Patient Comfort Questions Questions
Question 1 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.
Question 2 of 5
What is the major developmental task that the mother must accomplish during the first trimester of pregnancy?
Correct Answer: A
Rationale: Acceptance of the pregnancy is the major task in the first trimester. It establishes maternal role foundation, per developmental theory. Termination is situational, fetus acceptance is later, and fears are ongoing. A is the initial step.
Question 3 of 5
The nurse is caring for a client with a deep vein thrombosis. Which finding would require the nurse's immediate attention?
Correct Answer: C
Rationale: Respiratory rate of 32 requires immediate attention in DVT. Tachypnea suggests pulmonary embolism, per vascular nursing. Fever indicates infection, pulse is normal, and BP is concerning but secondary. C prioritizes life-threatening complications.
Question 4 of 5
A 60 year-old male client had a hernia repair in an outpatient surgery clinic. He is awake and alert, but has not been able to void since he returned from surgery 6 hours ago. He received 1000 mL of IV fluid. Which action would be most likely to help him void?
Correct Answer: C
Rationale: Assisting him to stand by the bed is most likely to help voiding. Gravity aids bladder emptying post-surgery, per urological nursing. Water adds volume, Credé's risks injury, waiting delays. C leverages physiology.
Question 5 of 5
The nurse is assigned to a client newly diagnosed with active tuberculosis. Which of these interventions would be a priority for the nurse to implement?
Correct Answer: D
Rationale: Placing the client in a negative pressure room with masks is the priority for active TB. Airborne isolation prevents droplet spread, per CDC guidelines. Coughing (A, B) and handwashing are secondary. D controls transmission effectively.