ATI LPN
Fundamentals of Nursing Oxygenation Questions Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A client has been prescribed both a bronchodilator and a steroid medication that is delivered by inhaler. What information is essential to teach this client in regard to these medications?
Correct Answer: D
Rationale: Bronchodilators and steroid inhalers can be used together with the bronchodilator typically first for immediate relief followed by the steroid for maintenance (A C incorrect). Steroids (B) are not for immediate effects as they reduce inflammation over time. Both medications (D) can increase heart rate a key side effect to monitor making D essential teaching for safety and compliance.
Question 5 of 5
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.