ATI LPN
Shadow Health Patient Comfort Questions Questions
Question 1 of 5
The nurse is preparing to administer a medication via intramuscular injection. Which action should the nurse take to ensure client safety?
Correct Answer: A
Rationale: Aspirating after needle insertion ensures safety in IM injections. Blood return indicates vessel entry, preventing IV administration, per protocol. Quick injection risks tissue damage, 22-gauge varies by drug, and vigorous massage spreads medication. A prevents harm, making it key.
Question 2 of 5
Alcohol and drug abuse impairs judgment and increases risk taking behavior. What nursing diagnosis best applies?
Correct Answer: A
Rationale: Risk for injury best applies to impaired judgment and risk-taking from substance abuse, per NANDA-I. It prioritizes safety, addressing potential harm. Knowledge deficit , thought process , and self-esteem may coexist but A captures the immediate risk requiring intervention.
Question 3 of 5
A nurse is eating in the hospital cafeteria when a toddler at a nearby table chokes on a piece of food and appears slightly blue. The appropriate initial action should be to
Correct Answer: C
Rationale: Performing 5 abdominal thrusts is the initial action for a choking toddler, per pediatric BLS guidelines. It dislodges the obstruction swiftly. Mouth-to-mouth is post-clearance, water worsens choking, and calling delays care. C prioritizes airway clearance.
Question 4 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 5 of 5
A client refuses to take the medication prescribed because the client prefers to take self-prescribed herbal preparations. What is the initial action the nurse should take?
Correct Answer: B
Rationale: Talking with the client about the herbal preparation is the initial action. It assesses preferences and builds trust, per therapeutic communication. Reporting or contacting skips understanding, and explaining may dismiss concerns. B informs subsequent steps.