ATI RN
Oxygen Questions and Answers PDF Questions
Question 1 of 5
A nurse is caring for a patient with a history of stroke who is complaining of severe headache. What is the priority intervention?
Correct Answer: B
Rationale: The correct answer is B: Administer a corticosteroid. The priority intervention is to address the potential cause of the severe headache, which could be due to increased intracranial pressure (ICP) resulting from the stroke. Corticosteroids, such as dexamethasone, are often used to reduce brain edema and inflammation in stroke patients. Administering analgesics (choice A) may provide temporary relief but does not address the underlying issue. Assessing respiratory status (choice C) is important but not the priority in this case. Administering beta-agonists (choice D) is not indicated for managing a severe headache in a stroke patient.
Question 2 of 5
A nurse is caring for a postoperative patient who is complaining of severe pain. What is the priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Administer pain medications. Severe pain can lead to increased stress and complications in postoperative patients. Administering pain medications is the priority intervention to provide comfort, improve patient outcomes, and ensure adequate pain management. Antiemetics (B) are used to treat nausea and vomiting, not pain. Administering fluids and electrolytes (C) is important but not the priority in this scenario. Administering a platelet inhibitor (D) is unrelated to managing severe pain in a postoperative patient.
Question 3 of 5
After the nurse has received change-of-shift report, which patient should the nurse assess first?
Correct Answer: C
Rationale: Post-bronchoscopy patients are at risk for complications like bleeding or airway issues, requiring priority assessment.
Question 4 of 5
After being hit by a baseball, a patient arrives in the emergency department with a possible nasal fracture. Which finding by the nurse is most important to report to the health care provider?
Correct Answer: A
Rationale: Clear nasal drainage could indicate cerebrospinal fluid leak, a serious complication requiring urgent reporting.
Question 5 of 5
An hour after a thoracotomy, a patient complains of incisional pain at a level 7 (based on 0 to 10 scale) and has decreased left-sided breath sounds. The pleural drainage system has 100 mL of bloody drainage and a large air leak. Which action should the nurse take?
Correct Answer: B
Rationale: Pain management is priority to improve breathing effort and prevent complications; morphine addresses the severe pain.