Practice Question
A nurse is caring for a client who has pneumonia. The client's oxygen saturation is 88%. Which of the following actions should the nurse take first?
Answer Choices:
Correct Answer:
Raise the head of the bed.
Rationale:
🔘 Raising the head of the bed improves ventilation and oxygenation by promoting lung expansion and reducing pressure on the diaphragm.
🔘 It helps increase functional residual capacity, allowing better oxygen exchange in patients with pneumonia.
🔘 Although encouraging coughing and deep breathing is important, optimizing position comes first to support oxygenation.
🔘Humidification therapy is supportive but does not immediately improve oxygen saturation.
🔘 Increasing oral fluids helps thin secretions but is a secondary intervention.
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This question is from ATI LPN Fundamentals Exam 3 which contains 40 questions.
More Questions from This Exam
A client complains of an inability to sleep through the night since admission three days ago. Which of the following factors is most likely to negatively affect the patient's sleep patterns?
Answer Choices:
A. Moderate fatigue
B. Ability to talk about day's events
C. Presence of pain
D. Absence of unfamiliar stimuli
A patient has an elevated temperature. The nurse assesses the patient and finds the skin flushed and very warm. The patient is oriented to person, place, time, and situation, and expresses severe fatigue. The most appropriate nursing action at this time would be to:
Answer Choices:
A. Remove blankets and offer fluids
B. Increase the patient's activity
C. Place ice bags on the patient's skin
D. Decrease the patient's intake
A nurse is caring for a client who reports a state of increasing anxiety and the inability to sleep and concentrate. Which of the following is an appropriate response by the nurse?
Answer Choices:
A. "It sounds like you're having a difficult time."
B. "Have you talked to your provider about this yet?"
C. "Why do you think you are so anxious?"
D. "Everyone has trouble sleeping at times."
When a nurse obtains an unusually low blood pressure measurement for a client whose blood pressure is generally elevated, she considers the possibility of a problem with her technique. Which of the following sources of error should she consider as a possible cause of the low reading?
Answer Choices:
A. Wrapping the cuff too loosely around the client's arm
B. Measuring blood pressure right after the client's mealtime
C. Positioning the client's arm above heart level
D. Deflating the cuff too slowly
A nurse is checking the apical pulse of a client who is taking several cardiovascular medications. Which of the following actions should the nurse take?
Answer Choices:
A. Use the diaphragm of the stethoscope to listen to the apical pulsations
B. Count the apical pulsations for a full minute
C. Press the stethoscope firmly against the client's skin
D. Check the apical pulse with a Doppler device
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Fundamentals of Nursing
- Answer Choices: 4