ATI LPN
ATI LPN Fundamentals Exam II Questions
Extract:
A nurse is caring for a school-age child with respiratory failure due to pneumonia
Question 1 of 5
A nurse is caring for a school-age child with respiratory failure due to pneumonia. Which position should the nurse encourage to allow for maximal lung expansion?
Correct Answer: D
Rationale: The upright position is typically recommended for a child with respiratory failure due to pneumonia. Sitting upright can help to maximize lung expansion and improve oxygenation.
Extract:
A nurse is caring for a postoperative patient following abdominal surgery. The surgeon has prescribed a clear liquid diet
Question 2 of 5
A nurse is caring for a postoperative patient following abdominal surgery. The surgeon has prescribed a clear liquid diet. Which of the following items should the nurse include on the patient's lunch tray?
Correct Answer: A
Rationale: Cranberry juice is an acceptable component of a clear liquid diet. Clear liquid diets are often prescribed postoperatively as they are easy to digest and leave no residue in the digestive tract.
Extract:
Upon auscultating a client's lungs, the nurse identifies crackles in the left posterior base
Question 3 of 5
Upon auscultating a client's lungs, the nurse identifies crackles in the left posterior base. What action should the nurse take?
Correct Answer: D
Rationale: Crackles can sometimes be cleared by deep breathing and coughing. Repeating the auscultation after asking the client to breathe deeply and cough can help the nurse determine if the crackles are transient or persistent.
Extract:
A nurse is caring for a client who has pneumonia. The client's oxygen saturation is 85%
Question 4 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:
Upon inspecting a client's skin, a nurse identifies a stage 3 pressure ulcer on the sacrum
Question 5 of 5
Upon inspecting a client's skin, a nurse identifies a stage 3 pressure ulcer on the sacrum. Which statement best describes a stage 3 pressure ulcer?
Correct Answer: C
Rationale: A stage 3 pressure ulcer involves full-thickness skin loss that appears as a deep crater. The ulcer may extend into the subcutaneous tissue layer, but not through it to the underlying muscle or bone.