ATI LPN
Critical Care Respiratory Questions Questions
Question 1 of 5
A nurse is caring for a client who is postoperative following a knee arthroplasty and requires the use of thigh-length sequential compression sleeves. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Make sure two fingers can fit under the sleeve to prevent inhibition of circulation. The client should be in dorsal recumbent or semi-Fowler's. The nurse should place the sleeve under each leg with an opening. The pressure should be between 35-65.
Question 2 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 3 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 4 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.
Question 5 of 5
A nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Pad the client’s wrist before applying the restraints. The nurse should evaluate the client’s circulation every 15 min, the nurse should remove the restraints every 2 hr to reposition, the nurse should remove and assess needs for hygiene, the nurse should secure the restraint ties to a part of the bed frame that moves with the client.