ATI RN
Fundamentals of Nursing Oxygenation Questions Questions
Question 1 of 5
A nurse prepares a patient with pleural effusion for thoracentesis. What is the appropriate position for the procedure?
Correct Answer: B
Rationale: The correct answer is B: Sitting upright and leaning over a bedside table. This position allows gravity to assist in moving the fluid away from the needle insertion site, reducing the risk of puncturing underlying structures. Sitting position also facilitates easier breathing during the procedure. A: Supine with the head of the bed flat is incorrect because it may not allow adequate drainage of the pleural effusion and increases the risk of complications. C: Prone with arms extended forward is incorrect as it does not promote effective drainage of the fluid and may cause discomfort to the patient. D: Lying on the unaffected side is incorrect as it does not utilize gravity to assist in fluid drainage and may not provide optimal access for the procedure.
Question 2 of 5
A nurse is caring for a patient with a history of diabetes. The patient reports feeling shaky. Which intervention should the nurse perform first?
Correct Answer: A
Rationale: The correct answer is A: Check the patient's blood glucose level. This is the first step because the patient's symptoms of feeling shaky could indicate hypoglycemia, a common complication of diabetes. By checking the blood glucose level, the nurse can confirm if the patient's symptoms are due to low blood sugar and then take appropriate action. Administering oral glucose would be the next step if the blood glucose level is low, as it helps raise blood sugar quickly. Administering a corticosteroid injection is not indicated for hypoglycemia and may cause a delay in addressing the immediate issue. Encouraging the patient to exercise is also not appropriate when the patient is experiencing symptoms of low blood sugar, as it could further decrease blood glucose levels.
Question 3 of 5
A nurse is caring for a patient receiving chemotherapy. The patient is experiencing nausea. What should the nurse do first?
Correct Answer: B
Rationale: First, corticosteroids help reduce inflammation and can alleviate chemotherapy-induced nausea quickly. Administering antiemetics may not be as effective in this situation. IV fluids may help with hydration but do not directly address nausea. Oral medications may not be effective if the patient is already experiencing nausea. Administering corticosteroids first is the best course of action to promptly address the patient's symptoms.
Question 4 of 5
A nurse is caring for a patient who has had a total knee replacement. The patient is complaining of severe pain. What is the priority intervention?
Correct Answer: D
Rationale: The correct answer is D: Administer an oral anticoagulant. The priority intervention for a patient who has had a total knee replacement and is experiencing severe pain is to administer an oral anticoagulant. This is because after surgery, there is an increased risk of blood clots forming in the legs due to immobility, which can lead to serious complications like pulmonary embolism. Administering an oral anticoagulant helps prevent the formation of blood clots and reduces the risk of these complications. Summary: - Option A (Administer analgesics): While controlling pain is important, in this case, preventing blood clots is the priority. - Option B (Administer antibiotics): Antibiotics are not indicated unless there is an infection present. - Option C (Administer insulin therapy): Insulin therapy is not relevant in this scenario unless the patient has diabetes that requires management.
Question 5 of 5
A nurse is caring for a patient with a history of stroke who is unable to speak. What is the priority nursing action?
Correct Answer: C
Rationale: The correct answer is C: Reposition the patient to prevent aspiration. Aspiration is a serious risk for stroke patients, especially those with difficulty swallowing. Repositioning the patient can help prevent aspiration pneumonia. Performing a swallowing assessment (choice A) is important but repositioning for safety takes precedence. Physical therapy (choice B) is important but not the priority in this situation. Administering a short-acting beta-agonist (choice D) is not relevant to the immediate safety concern of preventing aspiration.