ATI LPN
Acute Respiratory Care Nursing Questions Questions
Question 1 of 5
When caring for a client receiving oxygen therapy, the nurse identifies condensation in the oxygen tubing. What action should the nurse take?
Correct Answer: B
Rationale: Condensation in the oxygen tubing can impede the flow of oxygen and reduce the effectiveness of oxygen therapy. The nurse should disconnect the tubing and drain the condensation before reconnecting and continuing oxygen therapy.
Question 2 of 5
A nurse cares for a group of clients who are experiencing symptoms of withdrawal from alcohol. Which finding requires immediate follow-up?
Correct Answer: C
Rationale: The client needs to be seen immediately. Hematemesis is a symptom of rupture of associated esophageal varices. The mortality rate with acute bleeding is 10% to 40% and is related to failure to control a bleeding episode.
Question 3 of 5
A nurse cares for a client who is one hour post vaginal delivery. Which findings are an early sign of postpartum hemorrhage?
Correct Answer: C
Rationale: An increasing heart rate is often one of the first indicators of inadequate blood volume and the earliest sign of shock. The heart rate increases to keep cardiac output and mean arterial pressure at normal levels. A uterus that is enlarging may indicate clots are accumulating in the uterus and lead to uterine atony and postpartum hemorrhage.
Question 4 of 5
A nurse provides teaching to a client who is scheduled for a colonoscopy. Which statements should be included? Select one that doesn't apply.
Correct Answer: B
Rationale: 1. The client should consume a clear liquid diet the day before the colonoscopy and avoid red, orange, or purple (grape) beverages. 3. The client should avoid certain medications such as aspirin, anticoagulants and antiplatelet medications for several days prior to the procedure or as instructed by the provider. 4. Oral solutions can be chilled to help improve taste. Watery diarrhea usually begins an hour after administration. 5. Instruct the client to arrange for transportation home from the procedure. The client should be instructed not to drive or operate equipment for 12 to 18 hours after the colonoscopy.
Question 5 of 5
A nurse discovers a small paper fire in a trash can in a client's bathroom. The client has been taken to safety and the alarm has been activated. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The document incorrectly lists Class C (B) for a paper fire which requires a Class A extinguisher (water or dry chemical). Opening windows (A) can spread smoke and fire. Removing electrical equipment (C) is unnecessary for a paper fire and delays response. Wet towels (D) are for containment not extinguishing. The rationale corrects the error: a Class A extinguisher is needed for paper fires but based on the document B is listed as correct.