ATI LPN
Fundamentals of Nursing Oxygenation NCLEX Questions Questions
Question 1 of 5
A nurse is using an open irrigation technique to irrigate a client's indwelling urinary catheter. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Subtract the amount of irrigant used from the client's urine output. The client should be supine or dorsal recumbent for maximum access, the open irrigation requires 30-40 ml of fluid, and the nurse will need a 30-50 ml syringe to perform the irrigation.
Question 2 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 3 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 4 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.
Question 5 of 5
A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. Which of the following actions is the nurse’s priority?
Correct Answer: B
Rationale: Determine the reasons why the client is refusing to use the incentive spirometer.