ATI LPN
ATI LPN Fundamentals Exam II Questions
Extract:
A patient is undergoing oxygen therapy through a nasal cannula
Question 1 of 5
A patient is undergoing oxygen therapy through a nasal cannula. If the patient inquires about the reason for having oxygen tubing in their nose, what explanation about the cannula should the nurse provide?
Correct Answer: B
Rationale: A nasal cannula delivers the low concentration of oxygen that the patient needs. It is designed to provide a specific amount of oxygen, and the flow rate can be adjusted as needed.
Extract:
Upon auscultating a client's lungs, the nurse identifies crackles in the left posterior base
Question 2 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 patient who frequently attempts to remove his feeding tube. A family member requests that a restraint be applied
Question 3 of 5
A nurse is caring for a patient who frequently attempts to remove his feeding tube. A family member requests that a restraint be applied. Which of the following statements by the nurse is appropriate?
Correct Answer: A
Rationale: The nurse should prioritize the safety of the patient. If a patient is frequently attempting to remove his feeding tube, it could lead to complications such as infection or injury. Obtaining a prescription for restraints, after exploring alternatives, is appropriate.
Extract:
A nurse is performing chest physiotherapy on a client with a respiratory infection
Question 4 of 5
A nurse is performing chest physiotherapy on a client with a respiratory infection. Which technique should the nurse use to increase the velocity and turbulence of the client's exhaled air?
Correct Answer: A
Rationale: Vibration is a technique used in chest physiotherapy to increase the turbulence of the client's exhaled air. It involves the use of manual or mechanical techniques to create vibrations in the chest wall during exhalation.
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.