ATI LPN
Fundamentals of Nursing Oxygenation NCLEX Questions Questions
Question 1 of 5
The nurse is planning a time schedule for a clients twice-daily postural drainage. Which time schedule would be best?
Correct Answer: C
Rationale: Postural drainage should avoid times shortly after meals to prevent vomiting and fatigue. The schedule 0700 and 2000 (C) is widely distributed avoids meal times and aligns with typical breakfast and dinner schedules minimizing discomfort. Other options (A B D) are closer to meal times or less evenly spaced making C the best choice for client comfort and effectiveness.
Question 2 of 5
During tracheal suctioning,the nurse notes that the client heart rate has increased from 80 to $100 \mathrm{bpm}$. Based upon this assessment what action should the nurse take?
Correct Answer: D
Rationale: An increase from 80 to 100 bpm (D) is expected during suctioning due to stress but is not dangerous requiring completion as quickly as possible to minimize distress. Discontinuing immediately (A) risks leaving secretions. Resuscitation (B) is unnecessary for this change. Continuing until clear (C) may prolong stress making D the appropriate action to balance airway clearance and client comfort.
Question 3 of 5
A clients blood gas analysis results show an increase in carbon dioxide level. What will the nurse most likely assess in this client?
Correct Answer: B
Rationale: Elevated $\mathrm{CO} 2$ (hypercapnia) stimulates chemoreceptors triggering increased respiratory rate (B) to expel excess $\mathrm{CO} 2$ the strongest respiratory stimulant. Decreased rate (A) would worsen hypercapnia. Increased blood pressure (C) and decreased bowel sounds (D) are unrelated to $\mathrm{CO} 2$ levels making B the expected assessment finding.
Question 4 of 5
A client is concerned about maintaining a healthy respiratory system. What should the nurse instruct the client to do to promote a healthy respiratory status?
Correct Answer: B
Rationale: Promoting respiratory health involves regular exercise (B) to enhance lung capacity not smoking (C) to avoid damage and breathing through the nose (D) for filtration and humidification. Pursed-lip breathing (A) is specific for COPD not general health. Mouth breathing (E not listed) is less effective making B C and D appropriate instructions.
Question 5 of 5
The nurse is documenting the completion of tracheostomy suctioning and tracheostomy care in a clients medical record. What should this documentation include?
Correct Answer: A
Rationale: Documentation includes lung sounds before and after (A) to assess airway clearance sputum characteristics (B) for infection signs and skin integrity around the stoma (C) for breakdown. Tie knot side (D) is not typically documented. Oxygen flow rate (E not listed) is irrelevant here making A B and C essential for thorough records.