ATI LPN
Patient Comfort Questions Shadow Health Questions
Question 1 of 5
The pathological process causing esophageal varices is:
Correct Answer: C
Rationale: Portal hypertension causes esophageal varices, per the document. It occurs when the liver, often scarred from cirrhosis, resists portal vein flow, forcing blood into lower-pressure vessels like esophageal veins, forming varices. Ascites and edema are symptoms, not causes. Systemic hypertension affects arterial pressure, not portal veins. Dilated veins describe varices, not the process. Portal hypertension is the root mechanism, driving backflow and vessel dilation, making it the correct pathological process.
Question 2 of 5
After a myocardial infarction, a client is placed on a sodium restricted diet. When the nurse is teaching the client about the diet, which meal plan would be the most appropriate to suggest?
Correct Answer: D
Rationale: 3 oz. turkey, fresh sweet potato, fresh green beans, milk, and an orange is most appropriate for sodium restriction post-MI. Canned beets (A, ~300 mg), salmon (B, ~500 mg), and bologna (C, ~1000 mg) exceed limits (<2000 mg/day), risking fluid overload. Fresh turkey (~70 mg), sweet potato (~40 mg), and green beans (~5 mg) keep sodium low, supporting heart recovery. D avoids processed foods, aligning with dietary goals, making it the best plan.
Question 3 of 5
The nurse is teaching an 87 year-old client methods for maintaining regular bowel movements. The nurse would caution the client to avoid
Correct Answer: C
Rationale: The nurse should caution against laxatives for an 87-year-old. Chronic use risks dependency, dehydration, and electrolyte imbalance, common in elders. Suppositories , fiber , and softeners are safer, promoting regularity without overuse risks. C's potential for harm outweighs benefits long-term, making it the item to avoid.
Question 4 of 5
As the RN responsible for a client in isolation, which can be delegated to the practical nurse (PN)?
Correct Answer: A
Rationale: Reinforcing isolation precautions can be delegated to a PN. It's educational, within PN scope, unlike attitude assessment , staff evaluation , or environmental risk , which require RN judgment. A supports infection control safely, making it delegable.
Question 5 of 5
An unlicensed assistive personnel (UAP), who usually works in pediatrics is assigned to work on a medical-surgical unit. Which one of the questions by the charge nurse would be most appropriate prior to making delegation decisions?
Correct Answer: B
Rationale: What type of care did you give in pediatrics?' is most appropriate. It assesses relevant experience for med-surg delegation, unlike tenure , checklist , or comfort . B ensures safe task matching, making it the best question.