ATI LPN
Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 28 Questions
Question 1 of 5
You are caring for a patient who has lung disease. Yesterday, the patient was pleasant and cooperative. Today, the patient is irritable, restless, and a little confused. She is also complaining of a headache. What concerns you the most about this situation?
Correct Answer: B
Rationale: Irritability, restlessness, confusion, and headache are classic signs of early hypoxia in a patient with lung disease.
Question 2 of 5
You listen to the patient's lungs and hear adventitious breath sounds bilaterally. You note a frequent productive cough of thick yellow sputum. Which other assessments will you quickly make?
Correct Answer: A,B,C
Rationale: These assessments evaluate oxygenation, respiratory status, and signs of infection, critical in this scenario.
Question 3 of 5
Incentive spirometry is used to:
Correct Answer: B
Rationale: Incentive spirometry promotes deep breathing to prevent pneumonia and atelectasis post-surgery or in lung disease.
Question 4 of 5
Your patient has a blood pH of 7.48 and is on oxygen at 8 L/min. Which oxygen delivery device is best for this patient?
Correct Answer: B
Rationale: A Venturi mask delivers precise oxygen concentrations, ideal for a patient with alkalosis (pH 7.48) to avoid over-oxygenation.
Question 5 of 5
The health-care provider asks for a stat pulse oximetry reading on a patient wearing dark nail polish. What action will you take first?
Correct Answer: D
Rationale: Dark nail polish can interfere with pulse oximetry readings, so removing it from one nail ensures accuracy.