ATI RN
Oxygenation Nursing Practice Questions Questions
Question 1 of 5
A nurse is caring for a client who has a chest tube. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Drainage of 80 mL of fluid in the past hour. This finding indicates excessive drainage, which could be a sign of hemorrhage or other complications requiring immediate medical attention. A: Intermittent bubbling in the water seal chamber is expected and indicates proper functioning of the chest tube system. C: Tidaling in the water seal chamber with respiration is a normal finding that indicates the system is functioning correctly. D: Fluctuation in the drainage tubing with breathing is also a normal finding that shows the chest tube is working properly. In summary, choice B is the correct answer as it signals a potentially serious issue, while the other choices are normal findings associated with a functioning chest tube system.
Question 2 of 5
The nurse is caring for a client with pneumonia. Which intervention is most effective in preventing hospital-acquired pneumonia?
Correct Answer: C
Rationale: Rationale for Correct Answer C: Performing frequent oral care is the most effective intervention in preventing hospital-acquired pneumonia. This is because oral care helps to reduce the risk of oral bacteria being aspirated into the lungs, which can lead to pneumonia. By keeping the mouth clean and free of harmful bacteria, the risk of pneumonia is significantly reduced. Summary of Incorrect Choices: A: Administering antibiotics as prescribed may be necessary for treating pneumonia, but it does not directly prevent hospital-acquired pneumonia. B: Encouraging ambulation several times daily is important for preventing complications like deep vein thrombosis in hospitalized patients, but it does not directly prevent pneumonia. D: Providing a high-calorie, high-protein diet is important for overall nutrition and immune function, but it does not directly prevent hospital-acquired pneumonia.
Question 3 of 5
A nurse is caring for a client with pulmonary edema. Which assessment finding requires immediate action?
Correct Answer: A
Rationale: The correct answer is A: Productive cough with pink, frothy sputum. This finding indicates potential pulmonary edema, a life-threatening condition. Pink, frothy sputum suggests blood-tinged fluid in the lungs, requiring immediate intervention. Options B and C are concerning but can be managed with timely interventions. Option D is within the normal range for respiratory rate and does not indicate immediate danger.
Question 4 of 5
The nurse is caring for a client with pleurisy. Which intervention is most appropriate to manage the client's pain?
Correct Answer: B
Rationale: The correct answer is B: Administer a prescribed NSAID. NSAIDs are commonly used to manage pain associated with pleurisy by reducing inflammation and relieving discomfort. Deep breathing exercises (choice A) may worsen pain due to increased movement of the chest wall. Positioning the client flat on the back (choice C) may exacerbate pain by putting pressure on the affected area. Restricting fluid intake (choice D) is not indicated for pain management in pleurisy. Administering NSAIDs is the most appropriate intervention to address the underlying cause of pain in pleurisy.
Question 5 of 5
A client with pulmonary embolism is receiving anticoagulant therapy. Which laboratory value should the nurse monitor to assess for potential complications?
Correct Answer: B
Rationale: The correct answer is B: Prothrombin time (PT). PT measures the clotting ability of the blood and is crucial in monitoring anticoagulant therapy effectiveness. Changes in PT can indicate potential complications such as bleeding or clot formation. Platelet count (A) assesses risk of bleeding, but not specific to anticoagulant therapy. Hemoglobin level (C) monitors for anemia, not directly related to anticoagulant therapy. White blood cell count (D) indicates infection or inflammation, not specific to anticoagulant therapy complications.