ATI RN
Fundamentals of Nursing Oxygenation Practice Questions Questions
Question 1 of 5
A nurse is caring for a postoperative patient who is complaining of nausea and vomiting. What is the priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Administer antiemetics. This is the priority intervention because nausea and vomiting can lead to complications such as dehydration and electrolyte imbalances postoperatively. Administering antiemetics helps to alleviate the symptoms and prevent further issues. Increasing fluid intake (B) is important but not the priority when the patient is actively experiencing nausea and vomiting. Monitoring respiratory status (C) and encouraging deep breathing (D) are important for overall postoperative care but do not directly address the immediate issue of nausea and vomiting.
Question 2 of 5
A nurse is caring for a patient who is receiving chemotherapy and is experiencing nausea. What is the priority action?
Correct Answer: A
Rationale: The correct answer is A: Administer antiemetic medications. The priority action for a patient experiencing nausea from chemotherapy is to address the symptom directly. Administering antiemetic medications helps alleviate nausea and prevent vomiting, improving the patient's comfort and adherence to treatment. Option B (short-acting bronchodilator) is not relevant to managing nausea. Option C (pain relief) is not the priority when the patient's main symptom is nausea. Option D (platelet aggregation inhibitor) is not indicated for nausea related to chemotherapy. Administering antiemetic medications aligns with the nursing priority of addressing immediate patient needs and promoting comfort during treatment.
Question 3 of 5
A nurse is caring for a patient with a history of asthma who is experiencing wheezing. What is the priority action?
Correct Answer: C
Rationale: The correct answer is C: Administer insulin therapy. The priority action in this scenario is to address the patient's wheezing due to asthma. Administering insulin therapy would be incorrect as it is not relevant to the patient's current condition. Administering insulin for elevated blood glucose levels would also be incorrect as the patient's primary issue is wheezing, not high blood sugar. Administering pain medication is not the priority as it does not address the underlying cause of wheezing in a patient with asthma. Therefore, the priority action is to provide appropriate asthma treatment to alleviate the wheezing and ensure the patient's respiratory status is stabilized.
Question 4 of 5
The nurse palpates the posterior chest while the patient says '99' and notes absent fremitus. Which action should the nurse take next?
Correct Answer: D
Rationale: Absent fremitus suggests an obstruction or consolidation; auscultating breath sounds next helps determine the underlying cause.
Question 5 of 5
The nurse is caring for a mechanically ventilated patient with a cuffed tracheostomy tube. Which action by the nurse would determine if the cuff has been properly inflated?
Correct Answer: A
Rationale: Measuring cuff pressure with a manometer ensures it's within safe limits to prevent tracheal damage.