ATI RN
Oxygenation Nursing Practice Questions Questions
Question 1 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 2 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 3 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 4 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.
Question 5 of 5
A patient with severe chronic obstructive pulmonary disease (COPD) tells the nurse, 'I wish I were dead! I'm just a burden on everybody.' Based on this information, which nursing diagnosis is most appropriate?
Correct Answer: B
Rationale: The statement reflects feelings of worthlessness tied to dependence, fitting chronic low self-esteem.