ATI LPN
Providing Personal Care and Comfort Questions
Question 1 of 5
The nurse is reviewing laboratory results on a client with acute renal failure. Which one of the following should be reported immediately?
Correct Answer: D
Rationale: Serum potassium 6 mEq/L should be reported immediately in acute renal failure. Hyperkalemia risks cardiac arrhythmias, per renal nursing, requiring urgent intervention. BUN and pH are concerning, hemoglobin less acute. D prioritizes life-threatening risk.
Question 2 of 5
The school nurse is teaching the faculty the most effective methods to prevent the spread of lice (Pediculus Humanus Capitis) in the school. The information that would be most important to include is reflected in which of these statements?
Correct Answer: C
Rationale: Children should not share hats, scarves, and combs' is most important. Direct contact spreads lice, per public health, making prevention key. Reapplication , boiling , and combs treat, not prevent. C targets the primary transmission route.
Question 3 of 5
The nurse is caring for a client on complete bed rest. Which action by the nurse is most important in preventing the formation of deep vein thrombosis?
Correct Answer: C
Rationale: Passive range-of-motion exercises promote venous return, reducing DVT risk more effectively than static measures alone.
Question 4 of 5
A client returns from the operating room after a right orchiectomy. For the immediate post-operative period the nursing priority would be to
Correct Answer: B
Rationale: Pain management enhances recovery and prevents complications like immobility post-surgery.
Question 5 of 5
The nurse performs an assessment during a fluid exchange for the client who is 48 hours post-insertion of an abdominal Tenckhoff catheter for peritoneal dialysis. The nurse knows that the appearance of which of the following needs to be reported to the provider immediately?
Correct Answer: D
Rationale: Cloudy drainage suggests infection (peritonitis), a serious complication requiring immediate attention.