ATI LPN
Critical Care Respiratory Questions Questions
Question 1 of 5
A nurse is caring for a client receiving high-flow oxygen therapy via a noninvasive positive pressure ventilation (NPPV) device. What is an important nursing intervention for this client?
Correct Answer: C
Rationale: NPPV devices, such as continuous positive airway pressure (CPAP) or bilevel positive airway pressure (BIPAP), can cause dry mouth. Providing frequent oral care, such as mouth rinses and moisturizing agents, helps alleviate discomfort and prevent oral complications.
Question 2 of 5
The nurse is caring for a client with a tracheostomy receiving oxygen therapy. Which intervention should the nurse prioritize to prevent infection and ensure proper oxygen delivery?
Correct Answer: C
Rationale: Applying a sterile dressing over the tracheostomy site helps prevent infection by providing a barrier against microorganisms. It also ensures a clean environment for optimal oxygen delivery and promotes wound healing.
Question 3 of 5
A client who has endometrial cancer is receiving sealed internal radiation therapy. Which actions should the nurse implement? Select one that doesn't apply.
Correct Answer: C
Rationale: 1. Wearing a lead apron when providing care is recommended to protect the caregiver from radiation exposure. Always keep the front of the apron facing the client and do not turn so that the back of the caregiver is facing the client. 5. Women who are pregnant (including caregivers) should not enter the room. In addition, if the caregiver is attempting to conceive, whether they are male or female, they should not perform direct client care. Children younger than 16 should not be allowed to visit either. A 'Caution: Radioactive Material' sign should be placed on the door to the client’s room.
Question 4 of 5
During an admission assessment a client responds with rhyming statements such as 'tip, rip, dip and hip'. The nurse recognizes this speech pattern is associated with which mental health disorder?
Correct Answer: D
Rationale: This speech pattern is associated with psychotic disorders and schizophrenia. The client is exhibiting a type of speech called Clang association which is the meaningless rhyming of words, often in a forceful manner.
Question 5 of 5
A client who sustained a head injury has an intracranial pressure (ICP) monitor reading of 12 mm Hg. Which action should the nurse take?
Correct Answer: A
Rationale: An ICP reading of $12 \mathrm{~mm} \mathrm{Hg}$ is within the normal range (10 to $15 \mathrm{~mm} \mathrm{Hg}$ ). The nurse would continue with ongoing neurological assessment including vital signs, pupillary function, cranial nerve function, Glasgow Coma Scale, and sensory and motor response.