ATI LPN
Patient Comfort Questions Questions
Question 1 of 5
Which action is most likely to ensure the safety of the nurse while making a home visit?
Correct Answer: C
Rationale: Staying vigilant and exiting if unsafe is the most proactive safety measure.
Question 2 of 5
The nurse is assessing a client with portal hypertension. Which of the following findings would the nurse expect?
Correct Answer: C
Rationale: Ascites results from increased portal pressure in liver disease.
Question 3 of 5
A child is diagnosed with poison ivy. The mother tells the nurse that she does not know how her child contracted the rash since he had not been playing in wooded areas. As the nurse asks questions about possible contact, which of the following would the nurse recognize as highest risk for exposure?
Correct Answer: C
Rationale: Burning poison ivy releases urushiol into smoke, a high-risk exposure route.
Question 4 of 5
While assessing an Rh positive newborn whose mother is Rh negative, the nurse recognizes the risk for hyperbilirubinemia. Which of the following should be reported immediately?
Correct Answer: A
Rationale: Jaundice within 24-48 hours suggests hemolytic disease from Rh incompatibility, requiring urgent action.
Question 5 of 5
During the care of a client with Legionnaire's disease, which finding would require the nurse's immediate attention?
Correct Answer: D
Rationale: Reduced chest expansion suggests worsening respiratory distress, critical in Legionnaire's.