ATI LPN
Acute Respiratory Care Nursing Questions Questions
Question 1 of 5
A nurse is caring for a client receiving oxygen therapy via a nasal cannula. What is an important complication associated with prolonged use of a nasal cannula?
Correct Answer: A
Rationale: Prolonged use of a nasal cannula can lead to dryness and discomfort in the nasal passages due to the direct flow of oxygen. The nurse should provide humidification to prevent or alleviate dryness and nasal irritation.
Question 2 of 5
The nurse is caring for a client receiving oxygen therapy via a Venturi mask. Which assessment finding indicates the need for adjustment of the oxygen flow rate?
Correct Answer: C
Rationale: The client reporting nasal dryness and discomfort indicates inadequate humidification of the oxygen. The nurse should assess and adjust the oxygen flow rate or consider providing additional humidification to alleviate the client's discomfort and ensure effective oxygen therapy.
Question 3 of 5
A nurse cares for a group of clients who are experiencing symptoms of withdrawal from alcohol. Which finding requires immediate follow-up?
Correct Answer: C
Rationale: The client needs to be seen immediately. Hematemesis is a symptom of rupture of associated esophageal varices. The mortality rate with acute bleeding is 10% to 40% and is related to failure to control a bleeding episode.
Question 4 of 5
A nurse cares for a client who is one hour post vaginal delivery. Which findings are an early sign of postpartum hemorrhage?
Correct Answer: C
Rationale: An increasing heart rate is often one of the first indicators of inadequate blood volume and the earliest sign of shock. The heart rate increases to keep cardiac output and mean arterial pressure at normal levels. A uterus that is enlarging may indicate clots are accumulating in the uterus and lead to uterine atony and postpartum hemorrhage.
Question 5 of 5
A nurse provides teaching to a client who is scheduled for a colonoscopy. Which statements should be included? Select one that doesn't apply.
Correct Answer: B
Rationale: 1. The client should consume a clear liquid diet the day before the colonoscopy and avoid red, orange, or purple (grape) beverages. 3. The client should avoid certain medications such as aspirin, anticoagulants and antiplatelet medications for several days prior to the procedure or as instructed by the provider. 4. Oral solutions can be chilled to help improve taste. Watery diarrhea usually begins an hour after administration. 5. Instruct the client to arrange for transportation home from the procedure. The client should be instructed not to drive or operate equipment for 12 to 18 hours after the colonoscopy.