ATI RN
Nursing Fundamentals Oxygenation Questions Questions
Question 1 of 5
A nurse is assessing a client who is being discharged. The nurse notes the client has regular and quiet breathing. The nurse should identify this breathing pattern as which of the following?
Correct Answer: A
Rationale: The correct answer is A: Normal breathing. Regular and quiet breathing indicates a normal breathing pattern with a consistent rate and depth without any abnormalities. Kussmaul breathing is deep and rapid, Cheyne-Stokes is characterized by alternating periods of deep and shallow breathing, and apnea is the absence of breathing. Regular and quiet breathing does not align with these abnormal breathing patterns.
Question 2 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 3 of 5
The nurse is teaching a client with chronic bronchitis about energy conservation techniques. Which strategy should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Sitting while performing tasks like cooking or ironing. This strategy helps conserve energy by reducing the strain on the respiratory system, which is important for clients with chronic bronchitis. Sitting minimizes the energy expenditure required for these tasks, allowing the client to conserve energy for other activities. Choice A is incorrect because avoiding long periods of rest is not recommended for clients with chronic bronchitis as they need to conserve energy to prevent exacerbations. Choice B is incorrect because high-intensity exercises can actually worsen symptoms and strain the lungs in clients with chronic bronchitis. Choice D is incorrect because taking deep breaths before physical activity may not necessarily conserve energy and could potentially lead to increased respiratory effort.
Question 4 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 5 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.