ATI LPN
Fundamentals of Nursing Oxygenation NCLEX Questions Questions
Question 1 of 5
A nurse is caring for a client receiving oxygen therapy via a non-rebreather mask. What is an important nursing intervention for this client?
Correct Answer: A
Rationale: The nurse should ensure that the reservoir bag attached to the non-rebreather mask remains inflated at all times. The inflated bag provides a reservoir of oxygen and ensures a high concentration of oxygen is delivered to the client during inhalation.
Question 2 of 5
A nurse cares for a toddler who has a decreased appetite, an erratic eating pattern, and fussiness at mealtime. Which recommendation should be made to the parents?
Correct Answer: D
Rationale: Toddlers prefer the routine of consistent mealtimes. Frequent nutritious planned snacks can replace a meal, but shouldn’t replace a regular sit-down meal. Nibbling and snacking is a way to ensure proper nutrition when appropriate foods are offered. Nutritious snacks include several small pieces of food such as crackers, carrots, sliced cold meat, and raisins.
Question 3 of 5
A toddler is dehydrated as the result of complications from varicella-zoster virus. Fluid filled vesicles are observed on the face and chest. Which actions should the nurse implement? Select one that doesn't apply
Correct Answer: C
Rationale: 1. The nurse should place the client on airborne precautions. A private, negative air-flow room with at least six to twelve exchanges per hour is required. All health care personnel should wear an N95 respirator each time they enter the room. 2. The nurse should provide surgical masks for visitors. The nurse should also place a surgical mask on the client if transport outside of the private room is required. 4. The nurse should explain guidelines for contact precautions to the family. In addition to airborne precautions, standard and contact precautions should be maintained until lesions are dry and crusted. 5. A positive immune status must be confirmed. Evidence of immunity includes any of the following: documentation of age-appropriate varicella vaccination; laboratory evidence of immunity or confirmation of disease; diagnosis or verification of a history of varicella by a health care provider.
Question 4 of 5
A client who has severe burns is receiving total parenteral nutrition (TPN). Which lab value indicates therapeutic effectiveness of TPN?
Correct Answer: C
Rationale: A serum albumin of 4.0 is within normal and desired range (3.5 to $5.0 \mathrm{~g} / \mathrm{dL}$ ) and indicates a therapeutic effect of TPN. Nutritional requirements for a client with a severe burn can exceed 5,000 kcal/day. Enteral nutrition is preferred however if the client’s gastrointestinal tract is not functioning or when the nutritional needs cannot be met by oral and enteral feeding, TPN may be required.
Question 5 of 5
A nurse provides education to a client recently diagnosed with Addison's disease. Which symptoms should be discussed? Select one that doesn't apply.
Correct Answer: C
Rationale: 1. Salt craving is a manifestation of Addison’s disease related to the reduced aldosterone secretion. 2. Weight loss is a manifestation of Addison’s disease related to decreased cortisol levels. 4. Hypoglycemia is a manifestation of Addison’s disease related to the decreased cortisol levels. 5. Muscle weakness is a manifestation of Addison’s disease resulting from a decrease in aldosterone.