ATI LPN
Fundamentals of Nursing Oxygenation Practice Questions Questions
Question 1 of 5
An older adult who has facial drooping, a weak cough, and absent gag reflex is admitted for treatment. Which action should the nurse implement?
Correct Answer: D
Rationale: The nurse should contact the speech-language pathologist and request an evaluation. A speech-language pathologist will evaluate the client’s ability to swallow. If dysphagia is present, the nurse should implement additional measures to prevent aspiration and promote nutrition.
Question 2 of 5
After learning of a terminal illness and life expectancy,the client begins to hyperventilate and complains of being light-headed with the fingers toes and mouth tingling. What action should be taken by the nurse?
Correct Answer: B
Rationale: The client's symptoms (light-headedness tingling) indicate hyperventilation likely due to anxiety causing respiratory alkalosis. Slowing respirations (B) by counting or matching the nurse's slower rate corrects CO2 levels alleviating symptoms. Resuscitation (A) is unnecessary as this is not cardiac arrest. Trendelenburg and coughing (C) are inappropriate and could worsen symptoms. Meperidine (D) is for pain not hyperventilation making B the correct action. not cough reflex making B correct.
Question 3 of 5
A client is receiving oxygen by nonrebreather mask,but the bag is deflating on inspiration. What action should be taken by the nurse?
Correct Answer: D
Rationale: A nonrebreather mask bag deflating on inspiration indicates insufficient oxygen flow risking CO2 buildup. Increasing liter flow (D) ensures the bag remains inflated delivering adequate oxygen. Turning to the left side (A) is unrelated. Increasing oxygen percentage (B) is not adjustable on standard nonrebreathers. Checking the seal (C) is important but does not address flow issues making D the correct action.
Question 4 of 5
The nurse has completed discharge teaching for a client who will be going home on oxygen therapy. What statement made by the client would indicate that this client needs further instruction?
Correct Answer: A
Rationale: Polyester blankets (A) produce static electricity increasing fire risk with oxygen indicating a need for further instruction. Prohibiting smoking (B) checking grounding (C) and having a fire extinguisher (D) are correct safety measures. Thus A is incorrect as cotton or wool is safer to avoid static sparks in an oxygen-rich environment.
Question 5 of 5
A client who is being mechanically ventilated has copious amounts of secretions ranging from thick and tenacious to frothy. In preparing to suction this client,the nurse should take which action?
Correct Answer: D
Rationale: Hyperventilation (A B) risks pushing secretions deeper worsening obstruction. Instilling saline (C) is not recommended as it can increase infection risk. Increasing oxygen to $100 \%$ for several breaths (D) pre-oxygenates the client preventing hypoxia during suctioning making D the safest and most effective preparation.