ATI LPN
Acute Respiratory Care Nursing Questions Questions
Question 1 of 5
A nurse receives report about a client who has NS infusing IV at 125 ml/hr. When the nurse performs the initial assessment, he notes that the client has received only 80 ml over the last 2 hr. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Check the IV tubing for obstruction. The nurse should reposition but this isn't the first step, the nurse should document but this too isn't the first step. The nurse should request new IV fluid prescription to compensate for lost fluid but this isn't the first step.
Question 2 of 5
A nurse is caring for a client who has a respiratory infection. Which of the following techniques should the nurse use when performing nasotracheal suctioning for the client?
Correct Answer: B
Rationale: Apply intermittent suction when withdrawing the catheter. Suctioning continuously for more than 10 seconds can cause cardiopulmonary compromise. The nurse should insert the suction while the client is inhaling to avoid inserting into the esophagus, discard the suction catheter to eliminate the risk for infection, and the nurse should use her dominant hand with a sterile glove.
Question 3 of 5
A nurse is preparing to administer enoxaparin subcutaneously to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Administer the medication with the needle at a 45 degree angle. Subcutaneous injections should be inserted at 45 to 90 degree angles. Enoxaparin is given in the abdomen, and the Z-track method is for IM injections. Massaging the site of an anticoagulant will increase bruising.
Question 4 of 5
A nurse is educating a client who has a terminal illness about declining resuscitation in a living will. The client asks, 'What would happen if I arrived at the emergency department and I had difficulty breathing?' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: We would give you oxygen through a tube in your nose. Oxygen can provide comfort and is not considered a resuscitative measure when the nurse delivers it via nasal cannula.
Question 5 of 5
A nurse is preparing to administer 0.9% sodium chloride 750 ml IV to infuse over 7 hr. The nurse should set the infusion pump to deliver how many ml/hr? (Round to nearest whole number)
Correct Answer: B
Rationale: 107 ml/hr. Calculation: 750 ml ÷ 7 hr = 107.14 ml/hr, rounded to 107.