ATI RN
Nursing Fundamentals Oxygenation Questions Questions
Question 1 of 5
A nurse is caring for a patient with chronic kidney disease (CKD) who is experiencing fluid retention. What is the priority action?
Correct Answer: B
Rationale: The correct answer is B: Administer an opioid analgesic. The priority action for a patient with CKD experiencing fluid retention is to manage their pain with an opioid analgesic. Pain can exacerbate fluid retention by activating the sympathetic nervous system, leading to increased sodium and water retention. Administering an opioid analgesic can help alleviate the pain, reduce sympathetic activation, and potentially decrease fluid retention. Other choices are incorrect: A: Administer diuretics - While diuretics are commonly used for fluid retention in CKD, managing pain should take precedence in this scenario. C: Administer fluids and electrolytes - Administering more fluids can further worsen fluid retention in a patient with CKD. D: Administer a vasodilator - Vasodilators are not commonly used for fluid retention in CKD and may not address the underlying issue of pain.
Question 2 of 5
A nurse is caring for a patient with a history of diabetes who is experiencing dizziness and lightheadedness. What is the priority action?
Correct Answer: B
Rationale: The correct answer is B: Administer glucose for hypoglycemia. In a patient with a history of diabetes experiencing dizziness and lightheadedness, the priority action is to address hypoglycemia, which can be life-threatening if left untreated. Administering glucose will help raise the blood sugar levels quickly and resolve the symptoms. Administering insulin (choices A and C) would lower blood sugar levels further, worsening the symptoms. Choice D, administering glucose for hypoglycemia, is incorrect because giving additional glucose to a patient already experiencing hypoglycemia can lead to rebound hypoglycemia. Thus, the priority is to treat hypoglycemia promptly with glucose.
Question 3 of 5
A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD). The patient is experiencing shortness of breath and fatigue. What is the priority action?
Correct Answer: B
Rationale: The correct answer is B: Administer IV fluids. In a patient with COPD experiencing shortness of breath and fatigue, priority action is to address potential dehydration which can worsen symptoms. IV fluids can help improve hydration status, support oxygen delivery, and decrease respiratory distress. Administering pain relief (choices A and C) is not the priority as the main concern is respiratory distress. Administering a nebulized bronchodilator (choice D) can be beneficial but addressing dehydration takes precedence to optimize respiratory function.
Question 4 of 5
The nurse analyzes the results of a patient's arterial blood gases (ABGs). Which finding would require immediate action?
Correct Answer: D
Rationale: A PaO₂ of 59 mm Hg indicates severe hypoxemia, requiring immediate intervention to improve oxygenation.
Question 5 of 5
The nurse obtains the following assessment data on an older patient who has influenza. Which information will be most important for the nurse to communicate to the health care provider?
Correct Answer: B
Rationale: Diffuse crackles suggest pneumonia or fluid overload, a serious complication in older influenza patients.