ATI LPN
Acute Respiratory Care Nursing Questions Questions
Question 1 of 5
The nurse is preparing to apply a dressing for a client who has a stage 2 pressure injury. Which of the following types of dressing should the nurse use?
Correct Answer: D
Rationale: Hydrocolloid promotes healing in stage 2 by creating a moist wound bed. Alginate dressings are for stage 3 and 4 injuries to absorb drainage, moist gauze is for stage 4 or unstageable dressing that need debridement, transparent dressings are for stage 1 to prevent further friction.
Question 2 of 5
A nurse is preparing to administer enoxaparin subcutaneously to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Administer the medication with the needle at a 45 degree angle. Subcutaneous injections should be inserted at 45 to 90 degree angles. Enoxaparin is given in the abdomen, and the Z-track method is for IM injections. Massaging the site of an anticoagulant will increase bruising.
Question 3 of 5
A nurse is educating a client who has a terminal illness about declining resuscitation in a living will. The client asks, 'What would happen if I arrived at the emergency department and I had difficulty breathing?' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: We would give you oxygen through a tube in your nose. Oxygen can provide comfort and is not considered a resuscitative measure when the nurse delivers it via nasal cannula.
Question 4 of 5
A nurse is preparing to administer 0.9% sodium chloride 750 ml IV to infuse over 7 hr. The nurse should set the infusion pump to deliver how many ml/hr? (Round to nearest whole number)
Correct Answer: B
Rationale: 107 ml/hr. Calculation: 750 ml ÷ 7 hr = 107.14 ml/hr, rounded to 107.
Question 5 of 5
A nurse is preparing a change of shift report. Which of the following tools or documents should the nurse use to communicate continuity of care?
Correct Answer: B
Rationale: Situation, background, assessment, and recommendation.