ATI LPN
Fundamentals of Nursing Oxygenation NCLEX Questions Questions
Question 1 of 5
A client who has severe burns is receiving total parenteral nutrition (TPN). Which lab value indicates therapeutic effectiveness of TPN?
Correct Answer: C
Rationale: A serum albumin of 4.0 is within normal and desired range (3.5 to $5.0 \mathrm{~g} / \mathrm{dL}$ ) and indicates a therapeutic effect of TPN. Nutritional requirements for a client with a severe burn can exceed 5,000 kcal/day. Enteral nutrition is preferred however if the client’s gastrointestinal tract is not functioning or when the nutritional needs cannot be met by oral and enteral feeding, TPN may be required.
Question 2 of 5
A nurse educator is conducting a parenting class for new guardians of infants. Which of the following statements made by a participant indicates understanding?
Correct Answer: A
Rationale: The document lists A as correct but 130°F is too hot and risks burns; 120°F is safer for infants. Sitting up (B) does not ensure bathtub safety as infants can still drown. The rationale corrects the error: setting the water heater to 120°F prevents scalding but based on the document A is listed as correct requiring clarification in practice.
Question 3 of 5
A client diagnosed with chronic obstructive lung disease who is receiving oxygen at 1.5 liters per minute via nasal cannula is complaining of shortness of breath. What action should the nurse take?
Correct Answer: C
Rationale: For COPD clients pursed-lip breathing (C) helps prolong exhalation keeping airways open and reducing air trapping alleviating shortness of breath. Increasing oxygen (A) risks CO2 retention in COPD and requires physician approval. Lowering to semi-Fowler's (B) may not help and could worsen breathing. Encouraging rapid breathing (D) can increase air trapping and fatigue making C the appropriate action to improve comfort and oxygenation.
Question 4 of 5
The nurse is planning a time schedule for a clients twice-daily postural drainage. Which time schedule would be best?
Correct Answer: C
Rationale: Postural drainage should avoid times shortly after meals to prevent vomiting and fatigue. The schedule 0700 and 2000 (C) is widely distributed avoids meal times and aligns with typical breakfast and dinner schedules minimizing discomfort. Other options (A B D) are closer to meal times or less evenly spaced making C the best choice for client comfort and effectiveness.
Question 5 of 5
The nurse is preparing to assist with the removal of a chest tube that is a simple insertion without a purse-string suture. What materials should the nurse gather for this procedure?
Correct Answer: A
Rationale: Without a purse-string suture the chest tube site lacks closure risking air entry into the chest cavity. An occlusive dressing (A) such as petroleum gauze with tape seals the site to prevent pneumothorax. 4x4 gauze (B) adhesive pads (C) and non-adherent dressings (D) do not provide an airtight seal making A essential for safety during removal.