ATI LPN
Oxygenation NCLEX Questions Questions
Question 1 of 5
A nurse is caring for a client who requires an NG tube for stomach decompression. Which of the following actions should the nurse take when inserting the NG tube?
Correct Answer: D
Rationale: Have the client take sips of water to promote insertion of the NG tube into the esophagus. The client should be in high-Fowler's position, the nurse should withdraw the NG tube slightly not remove it if the client gags, the nurse should not apply suction unless NG tube is verified by X-ray.
Question 2 of 5
A nurse is assessing a client who reports increased pain following physical therapy. Which of the following questions should the nurse ask when assessing the quality of the client's pain?
Correct Answer: D
Rationale: Is your pain sharp or dull? Asking the pain scale determines intensity, asking constant or intermittent determines onset duration and pattern of pain, asking if it radiates determines the location.
Question 3 of 5
A nurse is admitting a client who is having an exacerbation of heart failure. In planning this client's care, when should the nurse initiate discharge planning?
Correct Answer: A
Rationale: During the admission process. The initiation of discharge planning does not depend on the client's condition, and you cannot consult with family unless the client gives permission to share that information.
Question 4 of 5
A nurse is performing a skin assessment for a client who expresses concern about skin cancer. Which of the following findings should the nurse identify as a potential indication of a skin malignancy?
Correct Answer: C
Rationale: A mole with an asymmetrical appearance. An uneven or asymmetrical shape is a potential indication of a skin malignancy.
Question 5 of 5
A nurse is caring for Birk group of clients. Which of the following actions should the nurse take to prevent the spread of infection?
Correct Answer: B
Rationale: Place a client who has tuberculosis in a room with negative pressure airflow. A client with airborne precautions should be in a room with negative pressure airflow to reduce transmission.