ATI RN
Oxygenation Nursing Practice Questions Questions
Question 1 of 5
A nurse is caring for a patient who is at risk for hypoglycemia. Which intervention should the nurse implement?
Correct Answer: D
Rationale: The correct answer is D: Administer insulin therapy. When a patient is at risk for hypoglycemia, administering insulin can further decrease blood sugar levels, exacerbating the condition. Therefore, the nurse should not administer insulin, glucose, or a snack, as these interventions can worsen hypoglycemia. Administering insulin therapy would be counterproductive and potentially harmful in this situation, making it the correct choice.
Question 2 of 5
A nurse is caring for a patient who is receiving chemotherapy. The patient is experiencing alopecia. What is the priority nursing intervention?
Correct Answer: C
Rationale: The correct answer is C: Encourage early ambulation. Chemotherapy patients often experience alopecia as a side effect. Early ambulation helps improve circulation, prevent complications like blood clots, and enhance overall well-being. It is a priority nursing intervention as it promotes physical activity and aids in the patient's recovery. Providing a wig prostheses (choice A) and emotional support (choice B) are important but not the priority when compared to promoting physical activity. Administering a calcium channel blocker (choice D) is irrelevant to addressing alopecia in chemotherapy patients.
Question 3 of 5
A nurse is caring for a patient with a history of diabetes who is experiencing an acute episode of hyperglycemia. What is the priority action?
Correct Answer: A
Rationale: The correct answer is A: Administer insulin. In hyperglycemia, administering insulin is the priority as it helps lower blood glucose levels effectively. Insulin is essential in managing high blood sugar levels in diabetic patients. Administering subcutaneous insulin (choice B) may not act fast enough in acute situations. Administering intravenous fluids (choice C) can help with hydration but does not address the primary issue of high blood sugar. Administering fluids alone (choice D) does not directly address hyperglycemia. Therefore, administering insulin is the most crucial action to manage hyperglycemia effectively.
Question 4 of 5
A nurse is caring for a patient with a history of stroke who is complaining of sudden loss of vision in one eye. What should the nurse do first?
Correct Answer: C
Rationale: The correct answer is C: Reassure the patient. In this situation, sudden loss of vision in one eye could be a sign of a transient ischemic attack (TIA) or a retinal artery occlusion, which can be frightening for the patient. The nurse's first priority should be to provide emotional support and reassurance to the patient to alleviate anxiety and stress. Once the patient is calmer, the nurse can then proceed to assess for changes in neurological status, notify the healthcare provider, and monitor vital signs. Reassurance is crucial in ensuring the patient's well-being and promoting effective communication.
Question 5 of 5
A nurse is caring for a patient with a history of stroke. The patient is experiencing dysphagia. What is the priority nursing action?
Correct Answer: C
Rationale: The correct answer is C: Administer insulin. The priority nursing action for a patient with dysphagia and a history of stroke is to address the potential cause, which could be hyperglycemia leading to diabetic dysphagia. Administering insulin would help control blood sugar levels, which could improve swallowing function. Administering thickened liquids (choice A) may help with dysphagia symptoms, but addressing the underlying cause is crucial. IV fluids (choice B) may not be necessary unless the patient is dehydrated. Administering pain medication (choice D) is not the priority unless pain is identified as the cause of dysphagia.