ATI RN
Nursing Fundamentals Oxygenation Questions Questions
Question 1 of 5
A nurse is assessing a client who has heart failure. Which of the following findings indicates right-sided heart failure?
Correct Answer: B
Rationale: The correct answer is B: Peripheral edema. Right-sided heart failure leads to fluid buildup in the body, causing peripheral edema (swelling in legs, ankles). Pulmonary congestion (A) is seen in left-sided heart failure. Elevated blood pressure (C) is not a specific indicator of right-sided heart failure. Decreased heart rate (D) is not a common sign of right-sided heart failure.
Question 2 of 5
A client with cystic fibrosis reports difficulty clearing thick mucus. Which intervention should the nurse prioritize?
Correct Answer: C
Rationale: The correct answer is C: Performing chest physiotherapy. This intervention helps mobilize and clear the thick mucus in the client's airways, making it easier for them to breathe. Administering a mucolytic medication (choice A) may help break down mucus but does not address the need for clearance. Encouraging increased fluid intake (choice B) is important for hydration but may not directly address mucus clearance. Providing a low-sodium diet (choice D) is not directly related to improving mucus clearance in cystic fibrosis. Therefore, chest physiotherapy is the priority intervention in this case.
Question 3 of 5
A nurse is preparing to administer oxygen to a client with a tracheostomy. Which equipment is most appropriate?
Correct Answer: C
Rationale: The correct answer is C: Tracheostomy collar. This equipment is most appropriate for a client with a tracheostomy because it is specifically designed to deliver oxygen directly to the tracheostomy site. The tracheostomy collar ensures proper oxygen delivery without interfering with the tracheostomy tube. A: Nasal cannula is not appropriate for a client with a tracheostomy as it delivers oxygen through the nose, bypassing the tracheostomy site. B: Non-rebreather mask is not ideal for a tracheostomy client as it may not deliver oxygen effectively to the tracheostomy site. D: Venturi mask may not be suitable for a tracheostomy client as it may not provide the precise oxygen concentration required.
Question 4 of 5
A client with bronchitis is prescribed a nebulizer treatment. What should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Hold your breath for 10 seconds after inhaling the medication. This is because holding the breath allows the medication to reach deep into the lungs for better absorption and effectiveness. Choice B is incorrect as taking deep, fast breaths can cause hyperventilation. Choice C is incorrect as cleaning nebulizer equipment daily should be done with soap and water, not alcohol. Choice D is incorrect as there is no need to avoid drinking fluids after the treatment.
Question 5 of 5
A nurse is preparing a client for pulmonary function testing (PFT). What instruction is most important to provide?
Correct Answer: A
Rationale: The correct answer is A: Avoid bronchodilators for 6 hours before the test. This instruction is crucial because bronchodilators can affect the test results by altering airway function. By avoiding bronchodilators, the client ensures accurate PFT results. Refraining from eating or drinking (B) is not necessary for PFT. Performing light exercise (C) could affect the test results. Wearing tight clothing (D) can impede lung expansion and alter the results.