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HESI LPN · HESI LPN Fundamentals of Nursing · HESI Oxygenation NCLEX Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A patient is admitted to a respiratory unit with a diagnosis of bacterial pneumonia. Findings include a fever and a weak, congested-sounding cough and moist crackles throughout the lung fields. How should the nurse prioritize care?

A. Difficulty with breathing
B. Inability to clear the airway
C. Confusion from fever
D. Inadequate oxygen level

Expert Explanatory Rationale

Correct Answer: Inability to clear the airway

Question 2 of 5

A nurse observes a patient using accessory muscles to breathe. What does this indicate?

A. Normal breathing
B. Respiratory distress
C. Improved oxygenation
D. Fatigue

Expert Explanatory Rationale

Correct Answer: Respiratory distress

Question 3 of 5

A nurse is initiating a 24-hour urine collection for a client at home. What will be the first thing the nurse will ask the client to do at the beginning of the specimen collection?

A. Void and discard the urine
B. Add the first voiding to the specimen
C. Keep the urine warm during collection
D. Begin the collection at a specific time

Expert Explanatory Rationale

Correct Answer: Void and discard the urine

Question 4 of 5

A nurse is caring for Birk group of clients. Which of the following actions should the nurse take to prevent the spread of infection?

A. Carry a client’s soiled linens out of the room in a mesh linen bag.
B. Place a client who has tuberculosis in a room with negative pressure airflow
C. Provide disposable plates and utensils for a client who is HIV positive
D. Dispose of a client’s blood saturated dressing in a trash bag inside a second trash bag

Expert Explanatory Rationale

Correct Answer: Place a client who has tuberculosis in a room with negative pressure airflow

Question 5 of 5

A nurse is planning to insert a peripheral IV catheter for an older adult client. Which of the following actions should the nurse plan to take?

A. Insert the catheter at a 45 degree angle
B. Place the client’s arm in a dependent position
C. Shave excess hair from the insertion site.
D. Initiate IV therapy in the veins of the hand

Expert Explanatory Rationale

Correct Answer: Place the client’s arm in a dependent position

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