ATI LPN
Fundamentals of Nursing Oxygenation NCLEX Questions Questions
Question 1 of 5
A client is concerned about maintaining a healthy respiratory system. What should the nurse instruct the client to do to promote a healthy respiratory status?
Correct Answer: B
Rationale: Promoting respiratory health involves regular exercise (B) to enhance lung capacity not smoking (C) to avoid damage and breathing through the nose (D) for filtration and humidification. Pursed-lip breathing (A) is specific for COPD not general health. Mouth breathing (E not listed) is less effective making B C and D appropriate instructions.
Question 2 of 5
A nurse is reviewing a client's fluid and electrolyte status. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Potassium 5.4 mEq/L. Potassium should be 3.5-5. BUN is 10-20, Creatinine is 0.5-1.1, Sodium is 136-145.
Question 3 of 5
A nurse is using an open irrigation technique to irrigate a client's indwelling urinary catheter. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Subtract the amount of irrigant used from the client's urine output. The client should be supine or dorsal recumbent for maximum access, the open irrigation requires 30-40 ml of fluid, and the nurse will need a 30-50 ml syringe to perform the irrigation.
Question 4 of 5
A nurse is providing discharge teaching to a client about self-administering heparin. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Administer the medication into the abdomen. The nurse should instruct the client to insert the needle at 90 to 45 degrees SC. The nurse should not aspirate for blood return as this will cause tissue damage, and so would massaging the site after injection.
Question 5 of 5
The nurse is assessing a client who has required bed rest for the past month. Which of the following findings should the nurse identify as an indication that the client has developed thrombophlebitis?
Correct Answer: C
Rationale: Calf swelling. Bladder distention is from urinary retention, bed rest can cause postural hypotension, and a decrease in bowel sounds is a sign of peristalsis which can lead to constipation.