ATI LPN
ATI LPN Fundamentals Exam II Questions
Extract:
A nurse is caring for a client who has pneumonia. The client's oxygen saturation is 85%
Question 1 of 5
A nurse is caring for a client who has pneumonia. The client's oxygen saturation is 85%. What is the first action the nurse should take?
Correct Answer: C
Rationale: Raising the head of the bed is the first action the nurse should take. This position can help to improve lung expansion and oxygenation.
Extract:
A nurse is preparing to administer an intradermal injection for a client who requires a tuberculin skin test
Question 2 of 5
A nurse is preparing to administer an intradermal injection for a client who requires a tuberculin skin test. What actions should the nurse plan to take?
Correct Answer: C
Rationale: Drawing up 0.1 mL of purified protein derivative (PP
D) from the vial is the correct action when preparing to administer a tuberculin skin test. This is the standard amount of PPD used. [Note: The document incorrectly states 0.5 mL; the correct volume is 0.1 mL.]
Extract:
A nurse is reviewing a client's prescriptions and notices that the dosage of one medication is three times the usual dose. The prescribing provider is unavailable for several days
Question 3 of 5
A nurse is reviewing a client's prescriptions and notices that the dosage of one medication is three times the usual dose. The prescribing provider is unavailable for several days. What should the nurse do next?
Correct Answer: B
Rationale: Requesting to speak with the provider who is covering for the prescriber is the most appropriate action in this situation. This allows the nurse to clarify the prescription and ensure the safety of the patient.
Extract:
A nurse is assisting an older adult client in the hallway for the first time since admission. The client has brought a standard walker from home
Question 4 of 5
A nurse is assisting an older adult client in the hallway for the first time since admission. The client has brought a standard walker from home. To ensure the client's safety and proper use of the walker, which of the following actions should the nurse take?
Correct Answer: A
Rationale: The client should lift the walker and place it down in front of her. This provides stability and support as the client moves, ensuring balance and preventing falls.
Extract:
A client is receiving oxygen at 2 L/min via a nasal cannula
Question 5 of 5
A client is receiving oxygen at 2 L/min via a nasal cannula. What oxygen concentration is the client receiving?
Correct Answer: A
Rationale: The client is receiving an oxygen concentration of 28%. Nasal cannulas deliver oxygen at a flow rate ranging from 1 to 6 liters per minute, with each additional liter increasing the fraction of inspired oxygen (FiO2) by 4%.
Therefore, at 2 L/min, the client is receiving an oxygen concentration of 28%.