ATI LPN
Oxygenation NCLEX Questions Questions
Question 1 of 5
A nurse is assessing a client receiving oxygen therapy via a non-rebreather mask. What should the nurse do to ensure the mask is functioning effectively?
Correct Answer: C
Rationale: The reservoir bag of a non-rebreather mask should be inflated to ensure an adequate oxygen supply during inhalation. The inflated bag provides a reservoir of oxygen-rich air that is delivered during each breath.
Question 2 of 5
The nurse is caring for a client receiving oxygen therapy via a simple face mask. Which nursing intervention is important to prevent skin breakdown?
Correct Answer: C
Rationale: Oxygen masks, especially those that exert pressure on specific areas of the face, can cause skin breakdown and pressure ulcers. Padding the pressure points with soft material helps distribute the pressure more evenly and reduces the risk of skin damage.
Question 3 of 5
The nurse is caring for a client receiving oxygen therapy via a face tent. Which action by the nurse is important to ensure proper oxygen delivery?
Correct Answer: C
Rationale: Checking for condensation inside the face tent is important to ensure that the oxygen is effectively delivered to the client. Condensation can obstruct the flow of oxygen and reduce its effectiveness. The nurse should frequently check for condensation and take appropriate measures to maintain proper oxygen delivery.
Question 4 of 5
A nurse provides discharge teaching for a client who had a below-knee amputation. Which instructions should the nurse include?Select one that doesn't apply.
Correct Answer: B
Rationale: 1. To prevent skin breakdown and infection, it is important for the client to thoroughly clean and dry the socket. 3. Clean, well-fitted liners are necessary to prevent skin breakdown and to promote a secured prosthesis. 4. Shoes should fit symmetrically and evenly. This would indicate an accurate fit of the prosthetic limb. 6. The skin should be assessed daily for signs of skin breakdown, drainage, infection, inflammation and/or shrinkage.
Question 5 of 5
A nurse provides care for a client who has severe anemia and received a transfusion of packed RBCs. Which data indicates the goal of therapy has been met?
Correct Answer: A
Rationale: A hemoglobin of $12 \mathrm{~g} / \mathrm{dL}$ would indicate a therapeutic response to therapy. The expected pharmacologic action of packed RBCs is to increase the number of red blood cells and improve the hemoglobin. One indication for the administration of packed RBCs is severe symptomatic anemia (Hgb 6 to $10 \mathrm{~g} / \mathrm{dL}$ ).