ATI LPN
Shadow Health Patient Comfort Questions Questions
Question 1 of 5
What finding signifies that children have attained the stage of concrete operations (Piaget)?
Correct Answer: C
Rationale: Stealing is wrong' signifies concrete operations (7-11 years). Moral judgment reflects logical thinking, per Piaget. Exploration , images , and reasoning fit earlier stages. C matches development, making it correct.
Question 2 of 5
The nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD) who is beginning oxygen therapy at 2 L/min via nasal cannula. Which finding would be of most concern to the nurse?
Correct Answer: D
Rationale: Pulse rate of 100 is most concerning with new oxygen in COPD. Tachycardia may signal hypoxia or distress, needing prompt evaluation, per ABCs. RR 20 , SpO2 90% , and dyspnea are typical. D indicates instability, making it priority.
Question 3 of 5
The nurse is preparing to administer a medication via intramuscular injection. Which action should the nurse take to ensure client safety?
Correct Answer: A
Rationale: Aspirating after needle insertion ensures safety in IM injections. Blood return indicates vessel entry, preventing IV administration, per protocol. Quick injection risks tissue damage, 22-gauge varies by drug, and vigorous massage spreads medication. A prevents harm, making it key.
Question 4 of 5
A 72 year-old client with osteomyelitis requires a 6 week course of intravenous antibiotics. In planning for home care, what is the most important action by the nurse?
Correct Answer: C
Rationale: Assessing the client's ability to participate in self-care or caregiver reliability is most important. Successful home IV antibiotic therapy for osteomyelitis hinges on consistent administration and monitoring, per home health standards. Insurance is logistical, hand washing is secondary, and device selection follows capability assessment. C ensures treatment adherence and safety.
Question 5 of 5
Alcohol and drug abuse impairs judgment and increases risk taking behavior. What nursing diagnosis best applies?
Correct Answer: A
Rationale: Risk for injury best applies to impaired judgment and risk-taking from substance abuse, per NANDA-I. It prioritizes safety, addressing potential harm. Knowledge deficit , thought process , and self-esteem may coexist but A captures the immediate risk requiring intervention.