ATI LPN
Oxygenation NCLEX Questions Questions
Question 1 of 5
A nurse is caring for a client receiving oxygen therapy via a mask. What is an important nursing intervention to prevent pressure ulcers on the client's face?
Correct Answer: C
Rationale: Placing padding between the oxygen mask and the client's skin helps distribute pressure and reduce the risk of pressure ulcers. It provides a cushioning effect and helps prevent direct contact between the mask and the skin.
Question 2 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 3 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 4 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 $10 \mathrm{~g} / \mathrm{dL}$ ).
Question 5 of 5
A client reports shortness of breath and has the following cardiac rhythm. Which medication should the nurse prepare to administer?
Correct Answer: A
Rationale: The ECG represents sinus bradycardia in which the heart rate is less than 60 beats per minute. Atropine is the treatment for symptomatic sinus bradycardia. Atropine is a parasympatholytic or vagolytic agent. (Note: The document does not specify the rhythm, but the rationale indicates sinus bradycardia.)