ATI LPN
Shadow Health Patient Comfort Questions Questions
Question 1 of 5
Which of the following interventions will help lessen the effect of GERD (acid reflux)?
Correct Answer: A
Rationale: Elevating the head of the bed on 4-6 inch blocks lessens GERD effects, per the document, by using gravity to prevent acid backflow into the esophagus. Lying down after eating worsens reflux by allowing fluid to flow uphill. Increased bedtime fluids heighten reflux risk via abdominal pressure. A girdle increases pressure, exacerbating symptoms. Elevation is a standard, evidence-based intervention, reducing LES pressure and symptom severity, especially at night, making it the most effective choice.
Question 2 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 3 of 5
Which statement best describes the effects of immobility in children?
Correct Answer: B
Rationale: Immobility in children has similar physical effects to adults atrophy, contractures, and skin breakdown occur regardless of age, per physiology. Language/motor delays are developmental, not physical. Greater susceptibility or prolonged immobility lacks evidence here. B accurately reflects consistent immobility effects, making it the best description.
Question 4 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 5 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.