ATI RN
Oxygenation Nursing Practice Questions Questions
Question 1 of 5
A patient hospitalized with chronic obstructive pulmonary disease (COPD) is being discharged home on O2 therapy. Which instruction should the nurse include in the discharge teaching?
Correct Answer: C
Rationale: The correct answer is C because O2 therapy can indeed improve a COPD patient's prognosis and quality of life by providing supplemental oxygen to help with breathing. Increasing O2 flow without healthcare provider guidance (B) can be dangerous. Travel is possible with portable O2 devices (A). O2 is stored in small tanks or concentrators, not large metal tanks lasting 4-6 hours (D).
Question 2 of 5
The nurse observes continuous bubbling in the water-seal chamber of a patient's chest tube. What should the nurse do?
Correct Answer: B
Rationale: The correct answer is B: Check the system for air leaks. Continuous bubbling in the water-seal chamber indicates an air leak in the system. Checking for air leaks is important to prevent complications like pneumothorax. Clamping the chest tube (A) can cause tension pneumothorax. Adding more sterile water (C) can disrupt the system's balance. Notifying the healthcare provider (D) should be done after checking for air leaks.
Question 3 of 5
Which patient statement indicates a need for additional teaching about oxygen therapy?
Correct Answer: B
Rationale: The correct answer is B because increasing oxygen flow rate without healthcare provider approval can be dangerous, leading to oxygen toxicity. Choice A shows good understanding of smoking risks with oxygen therapy. Choice C demonstrates awareness of equipment maintenance. Choice D indicates compliance with the provider's instructions. However, B is the only statement that suggests a potential misunderstanding of oxygen therapy management.
Question 4 of 5
A patient with pneumonia reports sharp chest pain that worsens with deep breathing. What should the nurse do first?
Correct Answer: B
Rationale: The correct answer is B because auscultating the lungs for breath sounds will help assess the severity and distribution of the pneumonia. This step is vital in determining the appropriate treatment and intervention. Administering pain reliever (Choice A) may mask symptoms and delay proper assessment. Encouraging deep breaths (Choice C) can exacerbate the pain. Placing the patient in a high Fowler's position (Choice D) may provide comfort but does not address the immediate need for assessment.
Question 5 of 5
A patient with tuberculosis is started on isoniazid (INH). What should the nurse monitor for?
Correct Answer: A
Rationale: The correct answer is A: Signs of peripheral neuropathy. Isoniazid can cause peripheral neuropathy due to vitamin B6 deficiency. The nurse should monitor for numbness, tingling, or weakness in extremities. Choices B, C, and D are incorrect because isoniazid does not typically cause hearing loss, visual disturbances, or hair thinning.