ATI LPN
Critical Care Respiratory Questions Questions
Question 1 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 2 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.
Question 3 of 5
A nurse is caring for a client who has a sodium level of 125 mEq/L. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Abdominal cramping. Low sodium level manifests as cramping, weakness, confusion, and lethargy. Chvostek’s sign is a manifestation of hypomagnesemia and hypocalcemia. Tachycardia is a manifestation of hyponatremia along with hypovolemia.
Question 4 of 5
A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. Which of the following statements should the nurse identify as an indication that the client understands the preoperative teaching she received about pain management?
Correct Answer: C
Rationale: It might help me to listen to music while I’m lying in bed.
Question 5 of 5
A 78 year-old client reports constipation for three days. What should the nurse take next?
Correct Answer: A
Rationale: The first step in addressing reported constipation is to assess the client’s condition. An abdominal assessment (e.g., checking for distension, bowel sounds, or tenderness) provides critical data to determine the cause and severity of constipation, guiding subsequent interventions. Evaluating fluid intake (B) is important but follows assessment to identify contributing factors. Requesting Colace (C, a stool softener) or walking (D, to stimulate peristalsis) are interventions that require baseline data from an assessment to justify and prioritize.