ATI LPN
Fundamentals of Nursing Oxygenation NCLEX Questions Questions
Question 1 of 5
A nurse provides education to a client recently diagnosed with Addison's disease. Which symptoms should be discussed? Select one that doesn't apply.
Correct Answer: C
Rationale: 1. Salt craving is a manifestation of Addison’s disease related to the reduced aldosterone secretion. 2. Weight loss is a manifestation of Addison’s disease related to decreased cortisol levels. 4. Hypoglycemia is a manifestation of Addison’s disease related to the decreased cortisol levels. 5. Muscle weakness is a manifestation of Addison’s disease resulting from a decrease in aldosterone.
Question 2 of 5
A client diagnosed with chronic obstructive lung disease who is receiving oxygen at 1.5 liters per minute via nasal cannula is complaining of shortness of breath. What action should the nurse take?
Correct Answer: C
Rationale: For COPD clients pursed-lip breathing (C) helps prolong exhalation keeping airways open and reducing air trapping alleviating shortness of breath. Increasing oxygen (A) risks CO2 retention in COPD and requires physician approval. Lowering to semi-Fowler's (B) may not help and could worsen breathing. Encouraging rapid breathing (D) can increase air trapping and fatigue making C the appropriate action to improve comfort and oxygenation.
Question 3 of 5
The nurse is planning a time schedule for a clients twice-daily postural drainage. Which time schedule would be best?
Correct Answer: C
Rationale: Postural drainage should avoid times shortly after meals to prevent vomiting and fatigue. The schedule 0700 and 2000 (C) is widely distributed avoids meal times and aligns with typical breakfast and dinner schedules minimizing discomfort. Other options (A B D) are closer to meal times or less evenly spaced making C the best choice for client comfort and effectiveness.
Question 4 of 5
The nurse is preparing to assist with the removal of a chest tube that is a simple insertion without a purse-string suture. What materials should the nurse gather for this procedure?
Correct Answer: A
Rationale: Without a purse-string suture the chest tube site lacks closure risking air entry into the chest cavity. An occlusive dressing (A) such as petroleum gauze with tape seals the site to prevent pneumothorax. 4x4 gauze (B) adhesive pads (C) and non-adherent dressings (D) do not provide an airtight seal making A essential for safety during removal.
Question 5 of 5
During tracheal suctioning,the nurse notes that the client heart rate has increased from 80 to $100 \mathrm{bpm}$. Based upon this assessment what action should the nurse take?
Correct Answer: D
Rationale: An increase from 80 to 100 bpm (D) is expected during suctioning due to stress but is not dangerous requiring completion as quickly as possible to minimize distress. Discontinuing immediately (A) risks leaving secretions. Resuscitation (B) is unnecessary for this change. Continuing until clear (C) may prolong stress making D the appropriate action to balance airway clearance and client comfort.