ATI LPN
Fundamentals of Nursing Oxygenation Questions Questions
Question 1 of 5
A nurse plans teaching for a client who has coronary artery disease. Which dietary recommendation is most important?
Correct Answer: A
Rationale: Atherosclerosis is the primary risk factor in the development of coronary artery disease (CAD). Health promotion efforts are aimed at eliminating saturated and trans saturated fatty acids by preparing foods that are baked or broiled in place of frying or stewing in lard and oils.
Question 2 of 5
A client who is at 30 weeks of gestation states, 'I may be in labor.' Which findings should the nurse anticipate?
Correct Answer: C
Rationale: Pelvic pressure or heaviness and painful, menstrual-like cramps are a symptom of preterm labor.
Question 3 of 5
The nurse is caring for a patient on a ventilator and reads the order "restrain prn." The nurse considers which factor when caring for this patient? (Select all that apply)
Correct Answer: C
Rationale: Safety restraint devices (SRDs) are used to protect patients but must be applied correctly to avoid harm. SRDs do not inherently decrease anxiety (A) and may increase it if misused. Not all older adults need SRDs at night (B) as this is not a blanket requirement and should be individualized. Allowing maximum freedom of movement (C) is correct to prevent injury and maintain comfort. Tying SRDs to side rails (D) is unsafe as it can cause injury if the rail moves; they should be tied to the bed frame. Ensuring two fingers can fit between the SRD.
Question 4 of 5
A home health nurse is discussing the dangers of food poisoning with a client. Which of the following information should the nurse include? (Select one that doesn't apply.)
Correct Answer: A
Rationale: Food poisoning is often caused by bacteria (e.g. Salmonella E. coli) not primarily viruses (A is incorrect but listed). Immunocompromised individuals (B) are at higher risk for severe complications. High-risk clients should use pasteurized dairy (C) to avoid pathogens. Despite the error in A the document lists A B and C as correct emphasizing the need for accurate education on food safety.
Question 5 of 5
The client is experiencing severe shortness of breath,but is not cyanotic. What laboratory value should the nurse review in an attempt to understand this phenomenon?
Correct Answer: B
Rationale: Cyanosis requires at least 5 g/dL of unoxygenated hemoglobin and dilated surface capillaries. Severe anemia (low hemoglobin/hematocrit B) can prevent cyanosis despite hypoxia as insufficient hemoglobin limits visible deoxygenation. Blood sugar (A) cardiac enzymes (C) and electrolytes (D) do not explain the absence of cyanosis making B the relevant lab value to review.