ATI LPN
Patient Comfort Questions Questions
Question 1 of 5
The nurse planning care for a 12 year-old child with sickle cell disease in a vaso-occlusive crisis of the elbow should include which one of the following as a priority?
Correct Answer: B
Rationale: Client-controlled analgesia is priority in sickle cell crisis. Pain from vaso-occlusion needs immediate relief, per standards. Fluid restriction , cold , or exercise worsen it. B manages pain, making it key.
Question 2 of 5
The nurse is assessing a client with a history of heart failure who reports gaining 3 pounds since yesterday. Which additional finding would be of most concern to the nurse?
Correct Answer: C
Rationale: Crackles in lower lobes are most concerning with a 3-pound gain in heart failure. They indicate pulmonary edema from fluid overload, needing urgent care, per pathophysiology. Pillows , BP , and no dyspnea are less acute. C signals decompensation, making it priority.
Question 3 of 5
The nurse is caring for a client with tuberculosis in an airborne isolation room. Which action by the nurse indicates a break in infection control precautions?
Correct Answer: A
Rationale: Wearing gown and gloves only breaks TB precautions. Airborne isolation requires an N95/HEPA mask to filter droplets, per CDC guidelines; gown/gloves alone insufficient. HEPA mask , handwashing , and closed door are correct. A risks transmission, making it the error.
Question 4 of 5
The nurse is caring for a client who was successfully resuscitated from a pulseless dysrhythmia. Which of the following assessments is critical for the nurse to include in the plan of care?
Correct Answer: A
Rationale: Hourly urine output is critical post-resuscitation from pulseless dysrhythmia. It monitors renal perfusion and cardiac output, reflecting hemodynamic stability after cardiac arrest, per critical care guidelines. White blood count assesses infection but isn't immediate, glucose is less urgent unless diabetic, and temperature detects fever but not organ function. A directly evaluates resuscitation success, detecting complications like acute kidney injury early.
Question 5 of 5
When providing nursing measures to relieve a 102-degree Fahrenheit fever in a toddler with an infection, what is the most effective intervention?
Correct Answer: A
Rationale: Using medications to lower the temperature set point is most effective. Antipyretics like acetaminophen reset the hypothalamic set point in a 102°F fever, addressing the cause, per pediatric standards. Clothing raises temperature, immersion risks shock, and sponging is adjunctive. A ensures safe, rapid fever reduction.