ATI LPN
Shadow Health Patient Comfort Questions Questions
Question 1 of 5
What finding of the nursing assessment of a paralyzed client would indicate the probable presence of a fecal impaction?
Correct Answer: B
Rationale: Oozing liquid stool indicates probable fecal impaction in a paralyzed client. Immobility slows peristalsis, hardening stool; liquid seeps around the blockage, a classic sign. Blood suggests trauma, not impaction. Flatulence reflects gas, not obstruction. Absent bowel movements are expected in paralysis but nonspecific. B aligns with impaction pathophysiology, requiring intervention like disimpaction, making it the key finding.
Question 2 of 5
A 25 year-old client, unresponsive after a motor vehicle accident, is being transferred from the hospital to a long term care facility. To which staff member should the charge nurse assign the client?
Correct Answer: D
Rationale: An RN should be assigned an unresponsive client post-MVA. Complex needs (e.g., neuro checks) exceed UAP , student , or PN scope. RN expertise ensures safety during transfer, making D the best assignment.
Question 3 of 5
During the interview of a prospective employee who just completed the agency orientation, which approach would be the best for the nurse manager to use to assess competence?
Correct Answer: B
Rationale: Reviewing the skills checklist best assesses competence. It objectively verifies abilities post-orientation, unlike supervision needs , comfort , or preferences . B ensures safe assignment, making it the top approach.
Question 4 of 5
A 64 year-old client scheduled for surgery with a general anesthetic refuses to remove a set of dentures prior to leaving the unit for the operating room. What would be the most appropriate intervention by the nurse?
Correct Answer: A
Rationale: Explaining dentures must come out is most appropriate. They risk aspiration or damage during anesthesia, per safety protocols. Second thoughts assume unrelated issues. Notification or OR removal delay resolution. A ensures compliance, making it the best intervention.
Question 5 of 5
When teaching effective stress management techniques to a client 1 hour before surgery, which of the following should the nurse recommend?
Correct Answer: B
Rationale: Deep breathing is best for stress management 1 hour pre-surgery. It's simple, immediate, and reduces anxiety via parasympathetic activation, fitting time constraints. Biofeedback needs equipment, distraction varies, imagery requires practice. B aligns with pre-op needs, making it the top technique.