ATI RN
Oxygen Questions and Answers PDF Questions
Question 1 of 5
A nurse is caring for a patient with a history of asthma. The patient is experiencing wheezing. What is the priority nursing intervention?
Correct Answer: A
Rationale: The correct answer is A: Administer a bronchodilator. This is the priority intervention because wheezing indicates airway constriction in asthma, requiring immediate relief to improve breathing. Bronchodilators help dilate the airways, providing quick relief. Administering an inhaled corticosteroid (B) is important for long-term control, not immediate relief. Administering an IV analgesic (C) is not necessary for wheezing in asthma. Performing a neurological assessment (D) is not relevant and does not address the immediate respiratory issue.
Question 2 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 3 of 5
A nurse is caring for a patient with a history of hypertension who is complaining of chest pain. What is the priority action?
Correct Answer: A
Rationale: The correct answer is A: Administer nitroglycerin. Nitroglycerin is the priority action for chest pain in a patient with a history of hypertension as it helps dilate blood vessels, reducing cardiac workload and improving blood flow to the heart. This can help alleviate chest pain in the setting of a possible myocardial infarction. Aspirin (B) is also commonly given to patients with chest pain to prevent clot formation, but nitroglycerin takes precedence in this scenario. Sublingual nitroglycerin (C) is specifically mentioned as the correct choice, as it is a rapid-acting form of the medication. Corticosteroids (D) are not indicated for the immediate management of chest pain in this context.
Question 4 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 5 of 5
After the nurse has received change-of-shift report, which patient should the nurse assess first?
Correct Answer: C
Rationale: In this scenario, the correct answer is C) a patient with possible lung cancer who has just returned after bronchoscopy. This patient should be assessed first because post-bronchoscopy patients are at increased risk for complications such as bleeding or airway compromise. Immediate assessment is crucial to monitor for any signs of respiratory distress, bleeding, or other adverse events. Option A, a patient with pneumonia who has crackles in the right lung base, is not the priority because crackles alone do not indicate an immediate life-threatening situation. Option B, a patient with chronic bronchitis who has a low forced vital capacity, may require monitoring and intervention but does not present an acute risk compared to a post-bronchoscopy patient. Option D, a patient with hemoptysis and a 16-mm induration after tuberculin skin testing, may also require attention but is not as urgent as the post-bronchoscopy patient who is at immediate risk of complications. Educationally, this question highlights the importance of prioritizing patient assessments based on the acuity of their condition. Understanding the risks associated with specific procedures and conditions helps nurses make informed decisions about where to direct their attention first in a clinical setting, ultimately ensuring patient safety and optimal outcomes.