Practice Question
A nurse is collecting data from a client who has heart failure. The nurse notes the client has crackles in the bases of the lungs, shortness of breath, and a respiratory rate of 24/min. Which of the following actions should the nurse take?
Answer Choices:
Correct Answer:
Maintain the client in high-Fowler's position.
Rationale:
🟦 High-Fowler’s positioning facilitates lung expansion, which improves oxygenation.
🟦 Heart failure often leads to pulmonary congestion, and upright posture helps reduce preload.
🟦 Crackles indicate fluid accumulation in the alveoli, a classic sign of left-sided HF.
🟦 This positioning also reduces the work of breathing, decreasing dyspnea.
🟦 It is a priority intervention before administering medications.
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This question is from PN ATI Comprehensive Predictor~2023 Series which contains 171 questions.
More Questions from This Exam
A nurse in an acute mental-health facility is caring for an adolescent who is exhibiting destructive behavior. Which of the following actions should the nurse take after applying physical restraints to the client?
Answer Choices:
A. Plan to remove the restraints as soon as the client is calm.
B. Ensure that the provider has signed a prescription for restraints within 48 hr.
C. Offer the client a nutritious snack every 4 hr.
D. Monitor the client's range of motion every 60 min.
A nurse in a provider's office is reinforcing teaching about cigarette smoking with a client. Which of the following adverse effects should the nurse include in the teaching?
Answer Choices:
A. Decreased hemoglobin
B. Bradycardia
C. Decreased blood pressure
D. Somnolence
A nurse in an Inpatient mental health facility is reinforcing teaching with a client who signed a consent form for electroconvulsive therapy. Which of the following statements by the client indicates an understanding of the procedure?
Answer Choices:
A. "I might have occasional seizures for several days after the procedure."
B. "I might have short-term memory loss after the procedure."
C. "I will have a urinary catheter in place during the procedure."
D. "I will need to follow a full-liquid diet for 24 hours after the procedure."
A nurse is caring for a client who asks why her newborn is receiving a phytonadione injection. Which of the following statements should the nurse make?
Answer Choices:
A. This medication prevents your baby from developing bleeding problems."
B. "This medication enhances regulation of your baby's temperature."
C. "This medication enhances your baby's immune response."
D. "This medication prevents your baby from developing jaundice"
A nurse is administering pancrelipase to a child who has cystic fibrosis. Which of the following outcomes should the nurse expect as a therapeutic effect of the treatment?
Answer Choices:
A. Improved respiratory function
B. Reduced fat in the stools
C. Improved absorption of vitamins B and C
D. Decreased sodium excretion
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exit Exam(s)
- Domain: Exit Exam(s)~2024
- Answer Choices: 4