ATI LPN
Oxygenation NCLEX Questions Questions
Question 1 of 5
The nurse is caring for a client receiving oxygen therapy via a simple face mask. Which nursing intervention is important to prevent skin breakdown?
Correct Answer: C
Rationale: Oxygen masks, especially those that exert pressure on specific areas of the face, can cause skin breakdown and pressure ulcers. Padding the pressure points with soft material helps distribute the pressure more evenly and reduces the risk of skin damage.
Question 2 of 5
A nurse provides discharge teaching for a client who had a below-knee amputation. Which instructions should the nurse include?Select one that doesn't apply.
Correct Answer: B
Rationale: 1. To prevent skin breakdown and infection, it is important for the client to thoroughly clean and dry the socket. 3. Clean, well-fitted liners are necessary to prevent skin breakdown and to promote a secured prosthesis. 4. Shoes should fit symmetrically and evenly. This would indicate an accurate fit of the prosthetic limb. 6. The skin should be assessed daily for signs of skin breakdown, drainage, infection, inflammation and/or shrinkage.
Question 3 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 4 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 5 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.