ATI Fundamentals LPN

ATI Fundamentals LPN Related

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The nurse is suctioning a client through a tracheostomy tube. During the procedure, the client begins to cough, and the nurse notes the presence of an audible wheeze. The nurse attempts to remove the suction catheter from the client's trachea but is unable to do so. What is the nurse's priority response?

  • A. Call a code.
  • B. Administer a bronchodilator.
  • C. Contact the health care provider.
  • D. Disconnect the suction source from the catheter.
Correct Answer: D

Rationale: A stuck catheter with coughing and wheezing suggests obstruction or bronchospasm; disconnecting the suction source (D) is the priority to relieve pressure and attempt removal. Calling a code (A) or provider (C) delays action. Bronchodilators (B) treat wheezing but not the immediate issue. D is correct. Rationale: Disconnecting stops suction trauma, allowing catheter withdrawal and airway reassessment, a critical first step per emergency airway protocols.

You may also like to solve these questions

1 cup is equal to how many ounces?

  • A. 8
  • B. 80
  • C. 800
  • D. 8000
Correct Answer: A

Rationale: One cup is standardized as 8 fluid ounces.

Mr. Gary relied on the nurse for honest care. This is an example of?

  • A. Trust
  • B. Sympathy
  • C. Health literacy
  • D. Care coordination
Correct Answer: A

Rationale: Relying on honest care is trust (A) confidence in bond, per definition. Sympathy (B) pity, literacy (C) understanding, coordination (D) organization not trust-specific. A fits Mr. Gary's faith in the nurse, making it correct.

A nurse identifies ways he/she can improve performance. He/she reflects on his nursing experiences. This is an example of the core critical thinking skill:

  • A. Self-regulation
  • B. Analysis
  • C. Inference
  • D. Explanation
Correct Answer: A

Rationale: Self-regulation in critical thinking involves monitoring and improving one's performance through reflection on experiences, identifying strengths and weaknesses. A nurse reflecting on past care to enhance future practice exemplifies this e.g., adjusting communication after a patient misunderstanding. Analysis breaks down data (e.g., lab results), not necessarily reflecting on personal performance. Inference draws conclusions from evidence (e.g., diagnosing from symptoms), not self-improvement. Explanation justifies actions (e.g., why a drug was given), not introspective growth. Self-regulation's focus on self-assessment and correction aligns with the nurse's reflective process, fostering continuous professional development, a vital skill in nursing for adapting to challenges and ensuring high-quality, patient-centered care over time.

When a patient in the terminal stages of lung cancer begins to exhibit loss of consciousness, a major nursing priority is to:

  • A. Protect the patient from injury
  • B. Insert an airway
  • C. Elevate the head of the bed
  • D. Withdraw all pain medications
Correct Answer: A

Rationale: Protecting an unconscious patient from injury is the top priority.

Which of the following nursing intervention is needed before teaching a client post spleenectomy deep breathing and coughing exercises?

  • A. Tell the patient that deep breathing and coughing exercises is needed to promote good breathing, circulation and prevent complication
  • B. Tell the client that deep breathing and coughing exercises is needed to prevent Thrombophlebitis, hydrostatic pneumonia and atelectasis
  • C. Medicate client for pain
  • D. Tell client that cooperation is vital to improve recovery
Correct Answer: C

Rationale: Medicating for pain (C) is needed before teaching post-splenectomy exercises; pain hinders participation, per nursing care. General benefits (A), specific risks (B), and cooperation (D) follow pain control. C ensures effective learning, making it correct.

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