ATI LPN
Fundamentals of Nursing Oxygenation NCLEX Questions Questions
Question 1 of 5
A toddler is dehydrated as the result of complications from varicella-zoster virus. Fluid filled vesicles are observed on the face and chest. Which actions should the nurse implement? Select one that doesn't apply
Correct Answer: C
Rationale: 1. The nurse should place the client on airborne precautions. A private, negative air-flow room with at least six to twelve exchanges per hour is required. All health care personnel should wear an N95 respirator each time they enter the room. 2. The nurse should provide surgical masks for visitors. The nurse should also place a surgical mask on the client if transport outside of the private room is required. 4. The nurse should explain guidelines for contact precautions to the family. In addition to airborne precautions, standard and contact precautions should be maintained until lesions are dry and crusted. 5. A positive immune status must be confirmed. Evidence of immunity includes any of the following: documentation of age-appropriate varicella vaccination; laboratory evidence of immunity or confirmation of disease; diagnosis or verification of a history of varicella by a health care provider.
Question 2 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 3 of 5
A nurse educator is conducting a parenting class for new guardians of infants. Which of the following statements made by a participant indicates understanding?
Correct Answer: A
Rationale: The document lists A as correct but 130°F is too hot and risks burns; 120°F is safer for infants. Sitting up (B) does not ensure bathtub safety as infants can still drown. The rationale corrects the error: setting the water heater to 120°F prevents scalding but based on the document A is listed as correct requiring clarification in practice.
Question 4 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 5 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.