ATI LPN
Fundamentals of Nursing Oxygenation Questions Questions
Question 1 of 5
The nurse is assessing a client who is receiving high-flow oxygen therapy via a non-rebreather mask. Which finding requires immediate intervention?
Correct Answer: D
Rationale: A loose fit of the mask on the client's face can result in a significant reduction in the delivery of high-flow oxygen therapy. It is essential to ensure a proper seal and fit of the mask to maximize the effectiveness of oxygen therapy. Immediate intervention is needed to readjust and secure the mask properly.
Question 2 of 5
A nurse administers 12 units lispro insulin at 0700 to a client. Within which time frame must the morning meal be served?
Correct Answer: A
Rationale: The client should consume their meal immediately, but no longer than 15 minutes after receiving this rapid acting insulin. The onset of humalog insulin is 15-30 minutes, peak time is 30 min to 2.5 hours, with a duration of 3-6 hours.
Question 3 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 4 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 5 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.