ATI LPN
Acute Respiratory Care Nursing Questions Questions
Question 1 of 5
A nurse cares for a group of clients who are experiencing symptoms of withdrawal from alcohol. Which finding requires immediate follow-up?
Correct Answer: C
Rationale: The client needs to be seen immediately. Hematemesis is a symptom of rupture of associated esophageal varices. The mortality rate with acute bleeding is 10% to 40% and is related to failure to control a bleeding episode.
Question 2 of 5
A nurse provides teaching to a client who is scheduled for a colonoscopy. Which statements should be included? Select one that doesn't apply.
Correct Answer: B
Rationale: 1. The client should consume a clear liquid diet the day before the colonoscopy and avoid red, orange, or purple (grape) beverages. 3. The client should avoid certain medications such as aspirin, anticoagulants and antiplatelet medications for several days prior to the procedure or as instructed by the provider. 4. Oral solutions can be chilled to help improve taste. Watery diarrhea usually begins an hour after administration. 5. Instruct the client to arrange for transportation home from the procedure. The client should be instructed not to drive or operate equipment for 12 to 18 hours after the colonoscopy.
Question 3 of 5
A nurse discovers a small paper fire in a trash can in a client's bathroom. The client has been taken to safety and the alarm has been activated. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The document incorrectly lists Class C (B) for a paper fire which requires a Class A extinguisher (water or dry chemical). Opening windows (A) can spread smoke and fire. Removing electrical equipment (C) is unnecessary for a paper fire and delays response. Wet towels (D) are for containment not extinguishing. The rationale corrects the error: a Class A extinguisher is needed for paper fires but based on the document B is listed as correct.
Question 4 of 5
When planning care,for which client should the nurse include close observation for a decreased or absent cough reflex?
Correct Answer: B
Rationale: The cough reflex relies on vagus nerve (cranial nerve X) conduction to the medulla. Impairment of vagus nerve function (B) such as from spinal cord injury or CNS depression can decrease or eliminate the cough reflex increasing risks of aspiration and respiratory infections requiring close monitoring. Nasal fractures (A) and sinus infections (C) do not typically affect the cough reflex. Reduced respiratory membrane conduction (D) impacts gas exchange
Question 5 of 5
Upon assessment,the nurse notes that a client has dyspnea crackles in both lung bases and tires easily upon exertion. Which nursing diagnosis is best supported by these assessment details?
Correct Answer: C
Rationale: Crackles in both lung bases (C) indicate fluid or mucus in the airways supporting Ineffective Airway Clearance where the client struggles to clear secretions leading to dyspnea and fatigue. Ineffective Breathing Pattern (A) focuses on altered rhythm or depth not crackles. Anxiety (B) lacks specific respiratory findings. Impaired Gas Exchange (D) relates to oxygenation deficits not primarily airway clearance making C the best-supported diagnosis.