ATI LPN
Oxygenation NCLEX Questions Questions
Question 1 of 5
The nurse is caring for a client receiving oxygen therapy via a face tent. Which action by the nurse is important to ensure proper oxygen delivery?
Correct Answer: C
Rationale: Checking for condensation inside the face tent is important to ensure that the oxygen is effectively delivered to the client. Condensation can obstruct the flow of oxygen and reduce its effectiveness. The nurse should frequently check for condensation and take appropriate measures to maintain proper oxygen delivery.
Question 2 of 5
A nurse provides care for a client who has severe anemia and received a transfusion of packed RBCs. Which data indicates the goal of therapy has been met?
Correct Answer: A
Rationale: A hemoglobin of $12 \mathrm{~g} / \mathrm{dL}$ would indicate a therapeutic response to therapy. The expected pharmacologic action of packed RBCs is to increase the number of red blood cells and improve the hemoglobin. One indication for the administration of packed RBCs is severe symptomatic anemia (Hgb 6 to $10 \mathrm{~g} / \mathrm{dL}$ ).
Question 3 of 5
A client reports shortness of breath and has the following cardiac rhythm. Which medication should the nurse prepare to administer?
Correct Answer: A
Rationale: The ECG represents sinus bradycardia in which the heart rate is less than 60 beats per minute. Atropine is the treatment for symptomatic sinus bradycardia. Atropine is a parasympatholytic or vagolytic agent. (Note: The document does not specify the rhythm, but the rationale indicates sinus bradycardia.)
Question 4 of 5
A nurse educator is presenting a module on basic first aid for newly licensed home health nurses. The client who has heat stroke will have which of the following?
Correct Answer: A
Rationale: Heat stroke is a medical emergency with elevated body temperature and organ dysfunction. Hypotension (A) occurs due to dehydration and vasodilation. Bradycardia (B) is incorrect as tachycardia is typical. Clammy skin (C) is more associated with heat exhaustion; heat stroke presents with hot dry skin. Bradypnea (D) is incorrect as tachypnea is common. Thus A is correct for heat stroke symptoms.
Question 5 of 5
The client has been admitted with complaints of shortness of breath of 2 weeks duration and has received the nursing diagnosis Impaired Gas Exchange. Which admission laboratory result would support the choice of this diagnosis?
Correct Answer: A
Rationale: Impaired Gas Exchange leads to chronic hypoxia prompting the body to increase erythrocyte production to enhance oxygen-carrying capacity resulting in increased hematocrit (A). Decreased BUN (B) relates to renal function not gas exchange. Increased blood sugar (C) is unrelated to oxygenation. Increased sedimentation rate (D) indicates inflammation but is nonspecific making A the supportive finding for this diagnosis.