ATI LPN
Shadow Health Patient Comfort Questions Questions
Question 1 of 5
Which statement by the nurse is appropriate when directing an unlicensed assistive personnel (UAP) to assist a 69 year-old surgical client to ambulate for the first time?
Correct Answer: A
Rationale: Sit on the side of the bed for 2 minutes' is appropriate. It prevents orthostatic hypotension, within UAP scope, unlike dizziness management , bathroom trips , or reporting . A ensures safety, making it best.
Question 2 of 5
A 3 year-old child is brought to the clinic by his grandmother to be seen for 'scratching his bottom and wetting the bed at night.' Based on these complaints, the nurse would initially assess for which problem?
Correct Answer: D
Rationale: Pinworms should be initially assessed. Anal itching and enuresis are classic signs, per parasitology. Allergies , scabies , and regression don't fit. D drives diagnosis, making it correct.
Question 3 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 4 of 5
The nurse has just received a client from the emergency department who experienced blunt chest trauma in a motor vehicle crash. Which assessment finding requires immediate intervention by the nurse?
Correct Answer: D
Rationale: Trachea deviated to the right requires immediate intervention. It suggests tension pneumothorax from trauma, shifting mediastinum, needing urgent decompression per ABCs. Tachypnea , SpO2 94% , and bruising are less acute. D threatens airway, making it priority.
Question 5 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.