ATI LPN
Patient Comfort Questions Questions
Question 1 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 2 of 5
On admission to the hospital a client with an acute asthma episode has intermittent nonproductive coughing and a pulse oximeter reading of 88%. The client states, 'I feel like this is going to be a bad time this admission. I wish I would not have gone into that bar with all those people who smoke last night.' Which nursing diagnoses would be most important for this client?
Correct Answer: D
Rationale: Pulse oximetry of 88% indicates impaired gas exchange, the most urgent issue.
Question 3 of 5
A female client diagnosed with genital herpes simplex virus 2 (HSV 2) complains of dysuria, dyspareunia, leukorrhea and lesions on the labia and perianal skin. A primary nursing action with the focus of comfort should be to
Correct Answer: A
Rationale: Sitz baths reduce pain and inflammation from HSV lesions.
Question 4 of 5
A client is admitted with a distended bladder due to the inability to void. The nurse obtains an order to catheterize the client, and is aware that gradual emptying is preferred over complete emptying because it reduces the
Correct Answer: B
Rationale: Rapid emptying can cause hypovolemic shock from sudden pressure shifts.
Question 5 of 5
A client is receiving oxygen therapy via a nasal cannula. When providing nursing care, which of the following interventions would be appropriate?
Correct Answer: B
Rationale: Cannula use can cause skin irritation; inspection prevents breakdown.