ATI LPN
Fundamentals of Nursing Oxygenation Questions Questions
Question 1 of 4
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.
Question 2 of 4
An older client is prescribed diazepam (Valium). What should the nurse monitor in this client?
Correct Answer: A
Rationale: Diazepam a benzodiazepine can depress the respiratory center especially in older adults increasing risk of respiratory depression (A). Monitoring respirations is critical for safety. Urine output (B) muscle tone (C) and appetite (D) are not primarily affected by diazepam making A the essential parameter to monitor.
Question 3 of 4
The nurse documents that a prescribed expectorant has been effective for a client. What did the nurse evaluate in this client?
Correct Answer: D
Rationale: Expectorants thin mucus facilitating easier expectoration. A productive cough (D) indicates effectiveness as the client can expel secretions. Labored breathing (A) wheezing (B) and high-pitched cough (C) suggest ongoing issues not resolution making D the evaluated finding for expectorant efficacy.
Question 4 of 4
Before administering the prescribed medication propranolol (Inderal) to a client,the nurse contacts the health care provider to question the order. What health problems did the client have that caused the nurse to question the medication order?
Correct Answer: A
Rationale: Propranolol a non-selective beta-blocker can constrict airways by blocking beta-2 receptors exacerbating COPD (A) and asthma (B) requiring caution. Arthritis (C) and gastritis (D) are not directly affected. Heart failure (E not listed) may also be a concern but is not listed making A and B the health problems prompting the nurse to question the order.