ATI LPN
LPN Fundamentals of Nursing Quizlet Questions
Question 1 of 5
A nurse is caring for a client receiving oxygen therapy through a transtracheal catheter. What is an important nursing consideration for this client?
Correct Answer: D
Rationale: Monitoring for oxygen toxicity (D) is critical with a transtracheal catheter, as high oxygen delivery directly to the trachea risks lung damage or neurological symptoms. Nasal placement (A) is incorrect transtracheal is tracheal. Q15min RR (B) is excessive. Continuous flow checks (C) are routine. Toxicity monitoring, per respiratory standards, ensures safe long-term use.
Question 2 of 5
The 5-minute Apgar of a baby delivered by C-section is recorded as 9. The most likely reason for this score is:
Correct Answer: C
Rationale: A 5-minute Apgar score of 9 typically reflects one point deduction, often for color, with cyanosis of the hands and feet (acrocyanosis) being common in newborns, especially post-C-section, due to initial circulation adjustments. Mottling or hemorrhages don't directly score points off, and a respiratory rate of 20-28 is low (normal is 30-60), potentially docking more points. Nurses recognize acrocyanosis as benign, resolving naturally, and use this score to reassure parents while monitoring transition, ensuring no further intervention is needed.
Question 3 of 5
The nurse is assigning tasks to the unlicensed assistive personnel (UAP). Which task should not be delegated to the UAP?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
The physician has ordered amoxicillin (Amoxil) for a client with a sinus infection. Before administering the medication, the nurse should ask the client if he is allergic to:
Correct Answer: C
Rationale: Penicillin allergy must be assessed before amoxicillin, a penicillin derivative, to prevent anaphylaxis in a sinus infection client codeine, aspirin, and sulfa aren't related. Nurses confirm allergies, ensuring safe antibiotic administration, critical for infection resolution without adverse reactions.
Question 5 of 5
The nurse is caring for a client with a history of congestive heart failure. The client's dyspnea has worsened over the past 2 hours. The nurse should:
Correct Answer: B
Rationale: Placing the client in high Fowler's position eases dyspnea in worsening congestive heart failure by reducing preload oxygen adjustment needs orders, Lasix requires confirmation, and coughing won't help acute fluid overload. Nurses prioritize positioning, monitoring respiratory status, aiding comfort in this cardiac emergency.