ATI LPN
Providing Personal Care and Comfort Questions
Question 1 of 5
While assessing a client in an outpatient facility with a panic disorder, the nurse completes a thorough health history and physical exam. Which finding is most significant for this client?
Correct Answer: B
Rationale: Impending doom is a hallmark symptom of panic disorder, indicating acute distress.
Question 2 of 5
The nurse is caring for a client with acute pancreatitis. After pain management, which intervention should be included in the plan of care?
Correct Answer: A
Rationale: Coughing and deep breathing prevent respiratory complications in pancreatitis.
Question 3 of 5
The nurse is assigned to a newly delivered woman with HIV/AIDS. The student asks the nurse about how it is determined that a person has AIDS other than a positive HIV test. The nurse responds:
Correct Answer: C
Rationale: AIDS is defined by a CD4 count <200 or opportunistic infections.
Question 4 of 5
What is the primary purpose of using a draw sheet when repositioning a patient in bed?
Correct Answer: A
Rationale: A draw sheet's primary role is to reduce friction and shear forces on a patient's skin during repositioning, preventing irritation or breakdown, especially in immobile patients prone to pressure ulcers. It allows nurses to slide the patient smoothly rather than dragging them, protecting vulnerable areas like the sacrum or heels. Enhancing sleep quality might be an indirect benefit but isn't the main intent it's about physical care, not rest. Monitoring blood pressure is unrelated, as draw sheets aren't diagnostic tools. Aiding wound healing could be a secondary effect by avoiding further skin damage, but prevention of irritation is the immediate goal. This technique is a fundamental nursing skill for maintaining skin integrity.
Question 5 of 5
What is the primary purpose of using a trochanter roll for a patient?
Correct Answer: C
Rationale: A trochanter roll supports proper alignment of the hips and legs by preventing external rotation of the femurs, which can occur in bedridden patients. Placed along the thighs, it maintains neutral positioning, reducing strain on joints and preventing contractures or discomfort. Keeping the patient warm is a blanket's role, not a roll's. Immobilizing limbs is too broad trochanter rolls target specific alignment, not full restriction. Preventing talking is unrelated; it's a physical support tool. Nurses use this to promote musculoskeletal health, especially in immobile patients, ensuring long-term comfort and mobility preservation.