ATI LPN
Providing Personal Care and Comfort Questions
Question 1 of 5
The nurse is preparing a handout on infant feeding to be distributed to families visiting the clinic. Which notation should be included in the teaching materials?
Correct Answer: A
Rationale: Solid foods introduced one at a time beginning with cereal' should be included. It prevents allergies, per AAP, starting at 6 months. Meat , egg white , and bottle mixing are wrong. A guides feeding, making it correct.
Question 2 of 5
The nurse is caring for a client who is receiving a blood transfusion. Fifteen minutes after the transfusion is started, the client reports itching over the trunk and arms. Which action should the nurse take first?
Correct Answer: B
Rationale: Stopping the transfusion and running saline is first for itching during transfusion. It halts a potential allergic reaction, per protocol, preserving IV access. Slowing delays, notifying or medicating follows. B prevents escalation, making it priority.
Question 3 of 5
The nurse is preparing a client for a colonoscopy. Which instruction should the nurse include to reduce the risk of complications?
Correct Answer: A
Rationale: Avoid eating solid food for 24 hours before' reduces colonoscopy risks. Clear bowels minimize perforation or obstruction, per prep standards. Meds may be held, milk obscures view, and pain reporting is post-procedure. A ensures safety, making it key.
Question 4 of 5
The nurse notes that a 2 year-old child recovering from a tonsillectomy has an temperature of 98.2 degrees Fahrenheit at 8:00 AM. At 10:00 AM the child's parent reports that the child 'feels very warm' to touch. The first action by the nurse should be to
Correct Answer: C
Rationale: Reassessing the temperature is the first action. A parent's report of 'feels very warm' suggests possible fever post-tonsillectomy, requiring objective confirmation before intervention, per pediatric nursing standards. Reassurance without data is premature, fluids don't address the cause, and acetaminophen requires fever verification to avoid masking symptoms. C ensures accurate assessment, guiding subsequent care.
Question 5 of 5
Delirium tremens could best be described as
Correct Answer: C
Rationale: Delirium tremens is an excited state with disorientation, hallucinations, and tachycardia, a severe alcohol withdrawal syndrome, per addiction nursing. A fits dementia, B isn't specific, and D describes seizures. C matches the acute, life-threatening presentation requiring intervention.