Practice Question
A nurse is caring for a client who has a tracheostomy. When providing tracheostomy care, which of the following actions should the nurse perform first?
Answer Choices:
Correct Answer:
Suction the tracheostomy tube.
Rationale:
🟩 Suctioning the tracheostomy tube should be the first priority to ensure that the airway is clear and not obstructed by secretions.
🟩 Maintaining a patent airway is critical before performing other tasks such as dressing changes or auscultation.
🟩 If secretions are left in the airway, it can lead to hypoxia, infection, or respiratory distress.
🟩 Suctioning also improves breath sounds and facilitates effective ventilation.
🟩 Once the airway is secured, other aspects of care can be completed more safely and effectively.
Want to practice more questions like this?
This question is from ATI PN Adult Medical Surgical 2023 which contains 69 questions.
More Questions from This Exam
A nurse is reinforcing teaching about home safety measures with a client who is visually impaired. Which of the following instructions should the nurse include?
Answer Choices:
A. Mark the edges of steps.
B. Use low-wattage light bulbs.
C. Place throw rugs over electrical cords.
D. Leave doors slightly ajar.
A nurse is reinforcing discharge teaching with a client regarding self-administration of regular insulin. Which of the following instructions should the nurse include?
Answer Choices:
A. Warm the insulin vial to dissolve any crystals that develop.
B. Keep unopened insulin vials in the freezer.
C. Store opened insulin vials at room temperature for up to 4 weeks.
D. Plan to eat a snack 6 hr after insulin administration.
A nurse is reinforcing teaching with a client who has angina. Which of the following statements by the client indicates an understanding of the teaching?
Answer Choices:
A. "I will have hot, dry, and flushed skin if I am having a heart attack."
B. "I will wait 30 minutes before taking action if I have heartburn."
C. "I will notify emergency response if I have sudden jaw pain."
D. "I will take four nitroglycerin sublingual tablets if I have chest pain."
A nurse is caring for a client who is in skeletal traction. Which of the following actions should the nurse take?
Answer Choices:
A. Unscrew the pins to cleanse the pin sites.
B. Remove the weights while turning the client in bed.
C. Loosen the rope knots holding the weights for 30 min if the client reports pain.
D. Ensure that there is at least 4.5 kg (10 lb) of weight applied to the client's traction.
A nurse is caring for a client who requires seizure precautions. Which of the following equipment should the nurse place at the client's bedside?
Answer Choices:
A. A padded tongue blade
B. Anticonvulsant medication
C. A nasogastric tube
D. A suction machine
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Medical-Surgical
- Answer Choices: 4