ATI RN
Oxygenation Nursing Practice Questions Questions
Question 1 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.
Question 2 of 5
The nurse teaches a patient about discharge instructions after a rhinoplasty. Which statement, if made by the patient, indicates that the teaching was successful?
Correct Answer: D
Rationale: Elevating the head reduces swelling post-rhinoplasty, indicating effective teaching.
Question 3 of 5
After assessment of a patient with pneumonia, the nurse identifies a nursing diagnosis of ineffective airway clearance. Which assessment data best supports this diagnosis?
Correct Answer: A
Rationale: A weak cough effort directly impairs the ability to clear secretions from the airway, supporting the diagnosis of ineffective airway clearance.
Question 4 of 5
The nurse provides preoperative instruction for a patient scheduled for a left pneumonectomy. Which information should the nurse include about the patient's postoperative care?
Correct Answer: C
Rationale: Incentive spirometry promotes lung expansion and prevents atelectasis after pneumonectomy, where no chest tube is typically used.
Question 5 of 5
The nurse is caring for a patient who has a right-sided chest tube after a right lower lobectomy. Which nursing action can the nurse delegate to the unlicensed assistive personnel (UAP)?
Correct Answer: A
Rationale: Documenting drainage volume is within UAP scope; it's a routine task not requiring clinical judgment.