ATI RN
Oxygenation Nursing Practice Questions Questions
Question 1 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 2 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.
Question 3 of 5
The nurse is preparing to administer a bronchodilator to a client with asthma. What assessment is most important before administration?
Correct Answer: C
Rationale: The correct answer is C: Measuring the client's heart rate. Before administering a bronchodilator to a client with asthma, it is crucial to assess the heart rate as bronchodilators can cause tachycardia as a side effect. Monitoring the heart rate will help determine the client's baseline status and identify any potential adverse reactions. Checking the respiratory rate (choice A) is important but not the most critical assessment before administering a bronchodilator. Assessing lung sounds (choice B) is relevant but does not directly address the potential cardiovascular side effects of the medication. Monitoring oxygen saturation levels (choice D) is essential but does not specifically focus on the cardiovascular response to the bronchodilator.
Question 4 of 5
The nurse is teaching a client with tuberculosis about the importance of medication adherence. What is the most critical point to emphasize?
Correct Answer: A
Rationale: Rationale: A: Completing the full course of medication is crucial to prevent drug resistance and fully eradicate the bacteria. B: Taking medication only when symptoms worsen can lead to treatment failure and spread of drug-resistant strains. C: Avoiding direct sunlight is not directly related to medication adherence in tuberculosis treatment. D: Consuming a high-fat diet does not improve drug absorption and is not necessary for treatment success.
Question 5 of 5
The nurse is caring for a client with a tracheostomy. Which finding requires immediate intervention?
Correct Answer: B
Rationale: The correct answer is B because oxygen saturation of 88% indicates hypoxemia, which requires immediate intervention to prevent complications. Hypoxemia can lead to tissue damage and organ dysfunction. Oxygen therapy is needed to improve oxygen saturation. Choices A, C, and D are not as urgent. Mucus in the tracheostomy tube can be suctioned, mild redness can be monitored for infection, and effective coughing indicates airway patency.