ATI LPN
Acute Respiratory Care Nursing Questions Questions
Question 1 of 5
A client is experiencing atelectasis. The nurse anticipates that this client will have an alteration in
Correct Answer: A
Rationale: Atelectasis (collapsed alveoli) reduces lung compliance impairing ventilation (A) the movement of air into and out of the lungs. Alveolar gas exchange (B) is affected secondarily. Transportation (C) and systemic diffusion (D) are downstream processes not directly altered by atelectasis making A the primary alteration to anticipate.
Question 2 of 5
The nurse wants to delegate the Yankauer suctioning of a client to UAP. What will the nurse ensure that UAP know before delegating this activity?
Correct Answer: B
Rationale: Yankauer suctioning (oral) is nonsterile and delegable to UAP. Not applying suction during insertion (B) prevents mucosal trauma a key point for UAP training. Applying suction during insertion (A) is incorrect. Sterile technique (C) is unnecessary for oral suctioning. Listening for lung sounds (D) is beyond UAP scope making B essential for safe delegation.
Question 3 of 5
A nurse receives report about a client who has NS infusing IV at 125 ml/hr. When the nurse performs the initial assessment, he notes that the client has received only 80 ml over the last 2 hr. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Check the IV tubing for obstruction. The nurse should reposition but this isn't the first step, the nurse should document but this too isn't the first step. The nurse should request new IV fluid prescription to compensate for lost fluid but this isn't the first step.
Question 4 of 5
The nurse is preparing to apply a dressing for a client who has a stage 2 pressure injury. Which of the following types of dressing should the nurse use?
Correct Answer: D
Rationale: Hydrocolloid promotes healing in stage 2 by creating a moist wound bed. Alginate dressings are for stage 3 and 4 injuries to absorb drainage, moist gauze is for stage 4 or unstageable dressing that need debridement, transparent dressings are for stage 1 to prevent further friction.
Question 5 of 5
A nurse is caring for a client who has a respiratory infection. Which of the following techniques should the nurse use when performing nasotracheal suctioning for the client?
Correct Answer: B
Rationale: Apply intermittent suction when withdrawing the catheter. Suctioning continuously for more than 10 seconds can cause cardiopulmonary compromise. The nurse should insert the suction while the client is inhaling to avoid inserting into the esophagus, discard the suction catheter to eliminate the risk for infection, and the nurse should use her dominant hand with a sterile glove.