ATI LPN
ATI LPN NS 117 Fundamentals Exam Questions
Extract:
Client 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%. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Raising the head of the bed (
B) improves lung expansion, addressing hypoxia first. A, C, and D are supportive but secondary to positioning for immediate oxygenation.
Extract:
School-age child who has respiratory failure due to pneumonia
Question 2 of 5
A nurse is assisting with the care of a school-age child who has respiratory failure due to pneumonia. Which of the following positions should the nurse encourage to allow maximal lung expansion?
Correct Answer: A
Rationale: Upright positioning (
A) maximizes lung expansion by aiding diaphragmatic movement. B and C limit expansion, and D is specific to severe ARDS, not general respiratory failure.
Extract:
Client who has constipation
Question 3 of 5
A nurse is assisting with teaching a client who has constipation. Which of the following statements should the nurse include?
Correct Answer: D
Rationale: Increasing fluid intake (
D) softens stools, aiding bowel movements. A worsens constipation, B reduces motility, and C disrupts routine.
Extract:
Infant has a prescription for home oxygen and pulse oximetry monitoring
Question 4 of 5
A nurse is reinforcing discharge teaching with the parents of an infant who has a prescription for home oxygen and pulse oximetry monitoring. Which of the following statements by the parents indicates a need for further teaching?
Correct Answer: D
Rationale: A reading of 100% (
D) is likely inaccurate for an oxygen-dependent infant, suggesting malfunction or misplacement, requiring clarification. A, B, and C are correct: rotating the probe prevents skin damage, finger/toe placement is appropriate, and movement affects accuracy.
Extract:
Client has a chest tube
Question 5 of 5
A nurse is assisting with the care of a client who has a chest tube. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Taping connections (
C) prevents accidental disconnection, maintaining the system’s integrity. A can cause kinks, obstructing drainage. B risks lung damage from excessive pressure. D prevents gravity drainage, risking fluid backflow.