ATI LPN
Fundamentals of Nursing Oxygenation NCLEX Questions Questions
Question 1 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 2 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 3 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.
Question 4 of 5
During tracheal suctioning,the nurse notes that the client heart rate has increased from 80 to $100 \mathrm{bpm}$. Based upon this assessment what action should the nurse take?
Correct Answer: D
Rationale: An increase from 80 to 100 bpm (D) is expected during suctioning due to stress but is not dangerous requiring completion as quickly as possible to minimize distress. Discontinuing immediately (A) risks leaving secretions. Resuscitation (B) is unnecessary for this change. Continuing until clear (C) may prolong stress making D the appropriate action to balance airway clearance and client comfort.
Question 5 of 5
A clients blood gas analysis results show an increase in carbon dioxide level. What will the nurse most likely assess in this client?
Correct Answer: B
Rationale: Elevated $\mathrm{CO} 2$ (hypercapnia) stimulates chemoreceptors triggering increased respiratory rate (B) to expel excess $\mathrm{CO} 2$ the strongest respiratory stimulant. Decreased rate (A) would worsen hypercapnia. Increased blood pressure (C) and decreased bowel sounds (D) are unrelated to $\mathrm{CO} 2$ levels making B the expected assessment finding.