ATI RN
Chapter 41 Oxygenation NCLEX Questions Questions
Question 1 of 5
A 3-month-old infant is at increased risk for developing anemia. The nurse would identify which principle contributing to this risk?
Correct Answer: C
Rationale: Infants at 3 months rely on depleting iron stores from birth, and breast milk or formula alone may not provide sufficient iron, increasing anemia risk.
Question 2 of 5
A nurse cares for a client who has advanced cardiac disease and states, 'I am having trouble breathing while I'm sleeping at night.' What is the nurse's best response?
Correct Answer: D
Rationale: Elevating the head and chest can alleviate orthopnea, a common symptom in advanced cardiac disease.
Question 3 of 5
When auscultating the lungs of a client experiencing dyspnea, the nurse hears a low-pitched sound that is continuous throughout inspiration. What does this lung sound indicate?
Correct Answer: A
Rationale: Rhonchi are low-pitched, continuous sounds heard during inspiration, often due to secretions in the larger airways, and may be cleared with coughing. Stridor is a high-pitched sound from narrow tracheal passages, pleural friction rub is a grating sound from inflamed pleural surfaces, and wheezing is a high-pitched sound from narrow bronchi.
Question 4 of 5
The nurse is caring for a woman who is 32 weeks pregnant and requires mechanical ventilation for ARDS. In addition to standard nursing interventions for adult clients with ARDS, what special interventions need to be implemented for this client?
Correct Answer: D
Rationale: Fetal monitoring (D) is critical for a pregnant woman with ARDS to ensure fetal well-being, in addition to standard ARDS care.
Question 5 of 5
The nurse is assigned to care for a client admitted to the hospital with chronic obstructive pulmonary disease (COPD). Which medication does the nurse anticipate to administer?
Correct Answer: B
Rationale: Bronchodilators (B) are anticipated for COPD to relieve airway obstruction and improve breathing, a primary treatment focus.