ATI LPN
Fundamentals of Nursing Oxygenation NCLEX Questions Questions
Question 1 of 5
The nurse is caring for a client receiving oxygen therapy via a nasal cannula. Which action by the nurse is appropriate when providing oral care to the client?
Correct Answer: A
Rationale: To ensure effective oral care, the nurse should temporarily remove the nasal cannula while performing oral care procedures. This allows better access to the client's mouth and prevents interference with oral hygiene.
Question 2 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 3 of 5
A client who has severe burns is receiving total parenteral nutrition (TPN). Which lab value indicates therapeutic effectiveness of TPN?
Correct Answer: C
Rationale: A serum albumin of 4.0 is within normal and desired range (3.5 to $5.0 \mathrm{~g} / \mathrm{dL}$ ) and indicates a therapeutic effect of TPN. Nutritional requirements for a client with a severe burn can exceed 5,000 kcal/day. Enteral nutrition is preferred however if the client’s gastrointestinal tract is not functioning or when the nutritional needs cannot be met by oral and enteral feeding, TPN may be required.
Question 4 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 5 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.