ATI RN
Oxygen Questions and Answers PDF Questions
Question 1 of 5
A client has a tracheostomy that is 3 days old. Upon assessment, the nurse notes that the client's face is puffy and the eyelids are swollen. What action by the nurse is best?
Correct Answer: A
Rationale: Puffy face and swollen eyelids may indicate subcutaneous emphysema, a tracheostomy complication, requiring immediate oxygenation assessment.
Question 2 of 5
A woman with severe preeclampsia is refusing magnesium sulfate. What statement by the nurse is best?
Correct Answer: A
Rationale: Explaining the potential need for delivery may encourage compliance with treatment.
Question 3 of 5
The nurse is providing care to a client with sepsis due to a severely infected leg wound. The client states that he is having trouble breathing. Upon assessment, the nurse notes dyspnea, a respiratory rate of 32, the use of accessory muscles to breathe, and rales and rhonchi upon auscultation of the lungs. The nurse recognizes these findings as characteristic of what condition?
Correct Answer: C
Rationale: Sepsis is the most common cause of acute respiratory distress syndrome (ARDS) (C). The symptoms of dyspnea, tachypnea, accessory muscle use, and lung sounds like rales and rhonchi are characteristic of ARDS.
Question 4 of 5
Which assessment finding by the nurse supports the diagnosis that a client is in the early stages of chronic obstructive pulmonary disease (COPD)?
Correct Answer: C
Rationale: Wheezing (C) is an early sign of COPD due to airway narrowing. Dysrhythmias (A), cyanosis (B), and clubbing (D) are later manifestations.
Question 5 of 5
Which observation by the nurse would indicate that a toddler with respiratory syncytial virus (RSV) is improving?
Correct Answer: A
Rationale: Active play with 96% oxygen saturation (A) indicates improved respiratory status and energy levels in RSV.