ATI LPN
Fundamentals of Nursing Oxygenation Questions Questions
Question 1 of 5
A client who is at 30 weeks of gestation states, 'I may be in labor.' Which findings should the nurse anticipate?
Correct Answer: C
Rationale: Pelvic pressure or heaviness and painful, menstrual-like cramps are a symptom of preterm labor.
Question 2 of 5
A home health nurse is discussing the dangers of food poisoning with a client. Which of the following information should the nurse include? (Select one that doesn't apply.)
Correct Answer: A
Rationale: Food poisoning is often caused by bacteria (e.g. Salmonella E. coli) not primarily viruses (A is incorrect but listed). Immunocompromised individuals (B) are at higher risk for severe complications. High-risk clients should use pasteurized dairy (C) to avoid pathogens. Despite the error in A the document lists A B and C as correct emphasizing the need for accurate education on food safety.
Question 3 of 5
The client is experiencing severe shortness of breath,but is not cyanotic. What laboratory value should the nurse review in an attempt to understand this phenomenon?
Correct Answer: B
Rationale: Cyanosis requires at least 5 g/dL of unoxygenated hemoglobin and dilated surface capillaries. Severe anemia (low hemoglobin/hematocrit B) can prevent cyanosis despite hypoxia as insufficient hemoglobin limits visible deoxygenation. Blood sugar (A) cardiac enzymes (C) and electrolytes (D) do not explain the absence of cyanosis making B the relevant lab value to review.
Question 4 of 5
The nurse has placed an oropharyngeal airway in a client. What action should the nurse take at this time?
Correct Answer: C
Rationale: An oropharyngeal airway facilitates airflow but can stimulate secretions. Turning the head to the side (C) allows drainage of oral secretions preventing aspiration. Taping (A) is not standard as the airway is temporary. Suctioning (B) may be needed but is not the immediate action. A nasal trumpet (D) is a different device making C the appropriate action to ensure airway patency and safety.
Question 5 of 5
A client with a nasotracheal tube in place has been restless and pulling at the tube. How should the nurse assess if the tube is still in place?
Correct Answer: C
Rationale: The nasotracheal tube should sit above the tracheal bifurcation. Auscultating bilateral breath sounds (C) confirms correct placement as equal sounds indicate the tube is not dislodged or in a mainstem bronchus. Counting respirations (A) or assessing depth (B) does not verify tube position. Deflating the cuff (D) is unsafe and unnecessary making C the appropriate assessment method.