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ATI LPN · Fundamentals of Nursing · Critical Care Respiratory Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A client who sustained a head injury has an intracranial pressure (ICP) monitor reading of 12 mm Hg. Which action should the nurse take?

A. Continue to assess.

B. Notify the provider.

C. Administer mannitol.

D. Maintain supine position.

Expert Explanatory Rationale

Correct Answer: Continue to assess.

Question 2 of 5

The nurse is caring for a client with a tracheostomy. For what protective mechanism will the nurse monitor in the client?

A. The ability to cough

B. Filtration and humidification of inspired air

C. The sneeze reflex initiated by irritants in the nasal passages

D. Decrease in oxygen-carrying capacity of the trachea

Expert Explanatory Rationale

Correct Answer: Filtration and humidification of inspired air

Question 3 of 5

The nurse is planning care for a client with an oral endotracheal tube. Which interventions should be included in this clients plan of care?

A. Insert an oropharyngeal airway.

B. Provide nasal care every 2 to 4 hours.

C. Provide oral hygiene every 2 to 4 hours.

D. Adjust non-humidified airflow as prescribed.

Expert Explanatory Rationale

Correct Answer: Insert an oropharyngeal airway.

Question 4 of 5

A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Which of the following types of transmission precautions should the nurse initiate?

A. Protective environment

B. Airborne precautions

C. Droplet precautions

D. Contact precautions

Expert Explanatory Rationale

Correct Answer: Contact precautions

Question 5 of 5

A nurse is reinforcing teaching with the parents of a child who is starting to use a spacer with a metered-dose inhaler (MDI) to treat asthma. Which of the following information should the nurse include in the teaching?

A. The spacer increases the amount of medication delivered to the oropharynx.

B. Cover exhalation slots of the spacer with lips when inhaling.

C. The spacer increases the amount of medication delivered to the lungs.

D. Inhale rapidly when using the spacer with the MDI.

Expert Explanatory Rationale

Correct Answer: The spacer increases the amount of medication delivered to the lungs.

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