ATI LPN
LPN Fundamentals of Nursing Quizlet Questions
Question 1 of 5
Which position is recommended for a patient who has difficulty breathing or respiratory distress?
Correct Answer: C
Rationale: For patients struggling with breathing or respiratory distress, elevating the head in a sitting or semi-sitting position maximizes lung expansion and eases respiratory effort. This approach leverages gravity to assist diaphragm movement, improving oxygenation, which is vital in conditions like pneumonia or heart failure. Lying flat on the back can compress the chest, worsening distress, while lying on the stomach is impractical and may obstruct airflow for such patients. Positioning on the side might help in specific cases, like unilateral lung issues, but it's less universally effective for general respiratory support. Nurses choose this position to optimize airway clearance and comfort, directly addressing the physiological need for better ventilation in acute respiratory challenges.
Question 2 of 5
A nurse is caring for a client receiving oxygen therapy through a transtracheal catheter. What is an important nursing consideration for this client?
Correct Answer: D
Rationale: Monitoring for oxygen toxicity (D) is critical with a transtracheal catheter, as high oxygen delivery directly to the trachea risks lung damage or neurological symptoms. Nasal placement (A) is incorrect transtracheal is tracheal. Q15min RR (B) is excessive. Continuous flow checks (C) are routine. Toxicity monitoring, per respiratory standards, ensures safe long-term use.
Question 3 of 5
A client hospitalized with a fractured mandible is to be discharged. Which piece of equipment should be kept on the client with a fractured mandible?
Correct Answer: A
Rationale: Wire cutters are essential for a client with a fractured mandible, often wired shut for immobilization, to cut wires in emergencies like vomiting or airway obstruction, ensuring safety post-discharge. An oral airway, pliers, or tracheostomy set isn't standard for this condition wires are the focus. Nurses emphasize this precaution, teaching clients and families its use, preventing complications from restricted jaw movement during healing.
Question 4 of 5
The 5-minute Apgar of a baby delivered by C-section is recorded as 9. The most likely reason for this score is:
Correct Answer: C
Rationale: A 5-minute Apgar score of 9 typically reflects one point deduction, often for color, with cyanosis of the hands and feet (acrocyanosis) being common in newborns, especially post-C-section, due to initial circulation adjustments. Mottling or hemorrhages don't directly score points off, and a respiratory rate of 20-28 is low (normal is 30-60), potentially docking more points. Nurses recognize acrocyanosis as benign, resolving naturally, and use this score to reassure parents while monitoring transition, ensuring no further intervention is needed.
Question 5 of 5
The nurse is assigning tasks to the unlicensed assistive personnel (UAP). Which task should not be delegated to the UAP?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.