ATI LPN
Oxygenation NCLEX Questions Questions
Question 1 of 5
The nurse is conducting a health history for a client with a respiratory disorder. What should the nurse include in this assessment?
Correct Answer: A
Rationale: A comprehensive respiratory history includes lifestyle (A) for risk factors (e.g. smoking) presence of cough (B) for type and duration sputum production (C) for characteristics and pain (D) for location and impact on breathing. Diet (E not listed) is less relevant making A
Question 2 of 5
A nurse is caring for a client who requires an NG tube for stomach decompression. Which of the following actions should the nurse take when inserting the NG tube?
Correct Answer: D
Rationale: Have the client take sips of water to promote insertion of the NG tube into the esophagus. The client should be in high-Fowler's position, the nurse should withdraw the NG tube slightly not remove it if the client gags, the nurse should not apply suction unless NG tube is verified by X-ray.
Question 3 of 5
A nurse is administering an otic medication to an older adult client. Which of the following actions should the nurse take to ensure that the medication reaches the inner ear?
Correct Answer: A
Rationale: Press gently on the tragus of the ear will help the medication get into the inner ear. Pushing in cotton could damage the ear, the auricle should be moved upward and back to straighten canal, and the client should lie on their side with ear upward for 2-5 minutes to let gravity move the medication.
Question 4 of 5
A nurse is assessing a client who reports increased pain following physical therapy. Which of the following questions should the nurse ask when assessing the quality of the client's pain?
Correct Answer: D
Rationale: Is your pain sharp or dull? Asking the pain scale determines intensity, asking constant or intermittent determines onset duration and pattern of pain, asking if it radiates determines the location.
Question 5 of 5
A nurse is admitting a client who is having an exacerbation of heart failure. In planning this client's care, when should the nurse initiate discharge planning?
Correct Answer: A
Rationale: During the admission process. The initiation of discharge planning does not depend on the client's condition, and you cannot consult with family unless the client gives permission to share that information.