ATI LPN
Patient Comfort Questions Shadow Health Questions
Question 1 of 5
The unlicensed assistive personnel (UAP) reports a sudden increase in temperature to 101 degrees Fahrenheit for a post surgical client. The nurse checks on the client's condition and observes a cup of steaming coffee at the bedside. What instructions are appropriate to give to the UAP?
Correct Answer: B
Rationale: Recheck temperature 15 minutes after removing hot liquids' is appropriate. Coffee likely raised oral temp; rechecking ensures accuracy. Fluids (A, C) or charting miss causation. B aligns with protocol, making it correct.
Question 2 of 5
A client has been tentatively diagnosed with Graves' disease (hyperthyroidism). Which of these findings noted on the initial nursing assessment requires quick intervention by the nurse?
Correct Answer: C
Rationale: Exophthalmos requires quick intervention in Graves'. Bulging eyes signal thyroid orbitopathy, needing urgent referral to prevent vision loss. Weight loss , restlessness , and irritability are managed less acutely. C prioritizes complication, making it critical.
Question 3 of 5
The nurse is assigned to care for a client who had a myocardial infarction (MI) 2 days ago. The client has many questions about this condition. What area is a priority for the nurse to discuss at this time?
Correct Answer: D
Rationale: Activity and rest guidelines are priority 2 days post-MI. They prevent strain, aiding recovery, per acute phase needs. Daily needs , rehab , and meds/diet follow. D ensures safety, making it key.
Question 4 of 5
The nurse is performing a physical assessment on a toddler. Which of the following actions should be the first?
Correct Answer: B
Rationale: Using minimal physical contact is first for a toddler. It builds trust, reducing fear, per development. Traumatic procedures , head-to-toe , or explanation follow. B ensures cooperation, making it initial.
Question 5 of 5
The nurse is assessing a client with a suspected bowel obstruction. Which finding should the nurse report immediately to the health care provider?
Correct Answer: B
Rationale: High-pitched bowel sounds need immediate reporting in suspected bowel obstruction. They indicate hyperperistalsis from blockage, risking perforation, per pathophysiology. Nausea , mild pain , and 12-hour stool absence are less urgent. B signals progression, making it critical.