ATI LPN
Providing Personal Care and Comfort Questions
Question 1 of 5
You are part of a multidisciplinary team that is charged with designing a workplace safety plan for your healthcare organization. This team has been established in response to increases in reports of violence and aggression. You begin by:
Correct Answer: A
Rationale: Surveying staff identifies root causes of violence and dissatisfaction.
Question 2 of 5
The nurse is caring for an elderly woman who has had a fractured hip repaired. In the first few days following the surgical repair, which of the following nursing measures will best facilitate the resumption of activities for this client?
Correct Answer: D
Rationale: Encouraging the use of an overhead trapeze best facilitates activity resumption post-hip repair, per the document. It promotes movement in bed and strengthens upper extremities, preparing for ambulation while preventing immobility hazards like muscle atrophy. A wheelchair requires excessive hip flexion early on, risking strain. Family visits boost morale but don't aid physical activity. Sitting out of bed qid also demands too much hip flexion initially; low Fowler's or walker-assisted steps are safer. The trapeze aligns with early rehab goals, enhancing mobility and joint function without overexertion, making it the optimal measure.
Question 3 of 5
A client in a long term care facility complains of pain. The nurse collects data about the client's pain. The first step in pain assessment is for the nurse to
Correct Answer: C
Rationale: Accepting the client's pain report is the first step in assessment, per the document, validating subjective experience as the gold standard in pain management. Coping methods and location/intensity follow. Status is vague. C ensures trust and accuracy, driving subsequent steps, making it the initial action.
Question 4 of 5
The nurse has been teaching a client with congestive heart failure about proper nutrition. Which of these lunch selections indicates the client has learned about sodium restriction?
Correct Answer: B
Rationale: A glucose sandwich with 2% milk indicates sodium restriction learning. Congestive heart failure requires low sodium to prevent fluid retention; cheese (A, C) and pizza are high-sodium (~500-1000 mg/serving), worsening edema. Glucose (likely a typo for a low-sodium item) and milk (~120 mg/cup) are lower, aligning with restrictions (<2000 mg/day). B best reflects understanding, avoiding sodium-rich options, making it the correct choice.
Question 5 of 5
Constipation is one of the most frequent complaints of elders. When assessing this problem, which action should be the nurse's priority?
Correct Answer: B
Rationale: Obtaining a health and dietary history is the priority for assessing constipation in elders. It identifies causes (e.g., low fiber, meds) for tailored intervention. Blood count or exam may follow but aren't initial. Height/weight is unrelated. B aligns with nursing process, addressing root causes, making it the first step.