ATI RN
Fundamentals of Nursing Oxygenation Questions Questions
Question 1 of 5
A nurse is caring for a patient with a history of stroke who is unable to speak. What is the priority nursing action?
Correct Answer: C
Rationale: The correct answer is C: Reposition the patient to prevent aspiration. Aspiration is a serious risk for stroke patients, especially those with difficulty swallowing. Repositioning the patient can help prevent aspiration pneumonia. Performing a swallowing assessment (choice A) is important but repositioning for safety takes precedence. Physical therapy (choice B) is important but not the priority in this situation. Administering a short-acting beta-agonist (choice D) is not relevant to the immediate safety concern of preventing aspiration.
Question 2 of 5
A nurse is caring for a patient with chronic kidney disease (CKD). What is the priority action?
Correct Answer: D
Rationale: The correct answer is D: Administer IV morphine. In CKD, pain management is crucial due to complications like uremic neuropathy. Morphine is a common analgesic used in CKD patients. Administering diuretics (A) can worsen kidney function. Administering IV fluids (B) may further stress the kidneys. Administering corticosteroids (C) can exacerbate fluid retention and electrolyte imbalances in CKD patients.
Question 3 of 5
A nurse is caring for a patient with a history of diabetes who is experiencing blurred vision. What is the priority intervention?
Correct Answer: B
Rationale: The correct answer is B: Administer corticosteroids. Blurred vision in a diabetic patient may indicate diabetic retinopathy, which can lead to vision loss. Administering corticosteroids can help reduce inflammation and prevent further damage to the eyes. Monitoring blood glucose levels (choices A and C) is important but not the priority in this case. Administering oral antihypertensive (choice D) is not indicated for blurred vision in a diabetic patient.
Question 4 of 5
A patient with a chronic cough is scheduled to have a bronchoscopy with biopsy. Which intervention will the nurse implement directly after the procedure?
Correct Answer: C
Rationale: Post-bronchoscopy, the patient must remain NPO until the gag reflex returns to prevent aspiration due to local anesthesia.
Question 5 of 5
Which statement by the patient indicates that teaching has been effective for a patient scheduled for radiation therapy of the larynx?
Correct Answer: A
Rationale: Radiation can cause dry mouth; carrying water helps manage this side effect, showing effective teaching.