ATI RN
Oxygenation Nursing Practice Questions Questions
Question 1 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 2 of 5
A nurse is caring for a patient with a history of hypertension who is experiencing chest pain. What is the priority intervention?
Correct Answer: B
Rationale: The correct answer is B: Administer IV fluids. The priority intervention for a patient with hypertension experiencing chest pain is to ensure adequate perfusion to vital organs. Administering IV fluids helps improve blood flow, stabilize blood pressure, and support cardiac function. This intervention is crucial in managing chest pain and preventing potential complications. Administering nitroglycerin (choice A) is important for chest pain relief but may cause a drop in blood pressure, which can be risky in patients with hypertension. Administering aspirin (choice C) is important for antiplatelet effects but does not address the immediate need for perfusion. Administering morphine (choice D) is used for pain relief but may mask symptoms and delay necessary interventions.
Question 3 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 4 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 5 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.