ATI LPN
Critical Care Respiratory Questions Questions
Question 1 of 5
A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Reassure the client that this is an expected response to grief. The client might perceive the discussion of risk factors as challenging or argumentative, the nurse should focus the teaching on the present psychosocial adaptation and not the future management, unless the client requests material this is not a good time, this is when the client needs to express their feelings.
Question 2 of 5
A nurse is caring for a child who has a prescription for a blood transfusion. The child's parents have refused the treatment due to their religious beliefs. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Examine personal values about the issue. Nurses should give care that is without bias. The nurse should provide information but not push care as 'necessary', parents must give consent for blood transfusions, and the provider should give information about the procedure not a spiritual support person.
Question 3 of 5
A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Which of the following types of transmission precautions should the nurse initiate?
Correct Answer: D
Rationale: Contact precautions. Major wound infections require contact precautions.
Question 4 of 5
A nurse is talking with an older adult client who is contemplating retirement. The client states, 'I keep thinking about how much I enjoy my job. I’m not sure I want to retire'. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Let’s talk about how the change in your job status will affect you.
Question 5 of 5
The nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. The nurse notifies the surgeon, who tells the nurse to continue to measure the client’s vital signs every 15 min and to report back in 1 hr. Which of the following actions should the nurse take next?
Correct Answer: D
Rationale: Notify the nursing manager. The greatest risk to the client is not receiving timely intervention for a deterioration in physiological status, therefore the next action is to activate the chain of command to ensure the client receives care.