ATI LPN
Fundamentals of Nursing Oxygenation NCLEX Questions Questions
Question 1 of 5
A nurse is reviewing a client's fluid and electrolyte status. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Potassium 5.4 mEq/L. Potassium should be 3.5-5. BUN is 10-20, Creatinine is 0.5-1.1, Sodium is 136-145.
Question 2 of 5
A nurse is providing discharge teaching to a client about self-administering heparin. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Administer the medication into the abdomen. The nurse should instruct the client to insert the needle at 90 to 45 degrees SC. The nurse should not aspirate for blood return as this will cause tissue damage, and so would massaging the site after injection.
Question 3 of 5
The nurse is assessing a client who has required bed rest for the past month. Which of the following findings should the nurse identify as an indication that the client has developed thrombophlebitis?
Correct Answer: C
Rationale: Calf swelling. Bladder distention is from urinary retention, bed rest can cause postural hypotension, and a decrease in bowel sounds is a sign of peristalsis which can lead to constipation.
Question 4 of 5
A nurse is reviewing evidence-based practice principles about administration of oxygen therapy with a newly licensed nurse. Which of the following actions should the nurse include?
Correct Answer: B
Rationale: Regulate oxygen via nasal cannula at a flow rate of no more than 6 L/min. The nurse should regulate the flow by aligning the middle of the ball, the reservoir bag of a partial rebreather should inflate one third to one half, and only use water-soluble lubricant to protect the client's skin.
Question 5 of 5
A nurse is admitting a new client. Which of the following actions should the nurse take while performing medication reconciliation?
Correct Answer: C
Rationale: Compare the client’s home medications with the provider’s prescriptions. Verify the client’s name when administering medication, the nurse should call the pharmacy when medications are not available, and a client’s home meds should be secured.