ATI LPN
Providing Personal Care and Comfort Questions
Question 1 of 5
The spouse of a client who has just been diagnosed with lung cancer says to the nurse, 'I guess all those years of smoking have come back to haunt us.' Which response by the nurse would be most therapeutic?
Correct Answer: B
Rationale: Tell me how you are feeling about this diagnosis' is most therapeutic. It invites emotional expression, supporting coping, per communication standards. Agreeing , reassuring , or minimizing dismiss feelings. B builds rapport, aiding grief processing, making it the best response.
Question 2 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 3 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 4 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.
Question 5 of 5
A child is sent to the school nurse by a teacher who has a written note that fifth disease is suspected. Which characteristic would the nurse expect to find?
Correct Answer: B
Rationale: Erythema on the cheeks with a 'slapped face' appearance is characteristic of fifth disease (parvovirus B19), per pediatric nursing. Vesicles suggest varicella, rose pink macules fit roseola, and Koplik spots indicate measles. B confirms the suspected diagnosis.