ATI LPN
Oxygenation NCLEX Questions Questions
Question 1 of 5
A nurse is caring for a client who is postoperative. When the nurse prepares to change her dressing, she says, 'Every time you change my bandage, it hurts so much.' Which of the following interventions is the nurse’s priority action?
Correct Answer: D
Rationale: Administer pain medication 45 min before changing the client’s dressing.
Question 2 of 5
A nurse is caring for a client who has dementia, which of the following interventions should the nurse take to minimize the risk for injury to the client?
Correct Answer: A
Rationale: Use a bed exit alarm system.
Question 3 of 5
The nurse uses gait belts when assisting clients to ambulate. A likely candidate for this assistive device is:
Correct Answer: B
Rationale: A gait belt supports clients who can ambulate with assistance, like those with leg strength. Bedrest clients (A) don’t ambulate. Incisions (C, D) don’t necessitate it unless mobility is impaired.
Question 4 of 5
A nurse is initiating a 24-hour urine collection for a client at home. What will be the first thing the nurse will ask the client to do at the beginning of the specimen collection?
Correct Answer: A
Rationale: Discarding the first void starts a fresh 24-hour period. Adding it (B) skews results. Warmth (C) and timing (D) are secondary.
Question 5 of 5
A patient has experienced a myocardial infarction. On which primary blood vessel will the nurse focus care to reduce ischemia?
Correct Answer: C
Rationale: Myocardial infarction results from reduced coronary artery blood flow, causing ischemia. The nurse focuses on the coronary artery to restore oxygenation to the heart muscle, not the vena cava, pulmonary artery, or carotid artery.