ATI RN
Oxygenation Nursing Practice Questions Questions
Question 1 of 5
A patient on trach mask trials with a 7.5 mm Shiley trach tube is requiring open tracheal suctioning. Which of the following would be the recommended PPE to wear?
Correct Answer: C
Rationale: Open tracheal suctioning requires gloves, goggles, and a face mask to protect against aerosolized secretions.
Question 2 of 5
The nurse knows that a myocardial infarction is an occlusion of what blood vessel?
Correct Answer: C
Rationale: The correct answer is C: Coronary artery. A myocardial infarction is caused by a blockage in the coronary arteries, leading to inadequate blood supply to the heart muscle. This can result in damage to the heart tissue. The pulmonary artery (A) carries deoxygenated blood from the heart to the lungs, not to the heart muscle. The ascending aorta (B) is the large artery that carries oxygenated blood away from the heart, not directly supplying the heart muscle. The carotid artery (D) supplies blood to the brain, not the heart muscle.
Question 3 of 5
While the nurse is changing the ties on a tracheostomy collar, the patient coughs, dislodging
Correct Answer: A
Rationale: The correct answer is A: What is the nurse's first nursing action? In this scenario, the nurse's first priority is to assess the patient's airway and breathing. By asking "What is the nurse's first nursing action?" the nurse can quickly assess the situation and determine if further intervention is needed. Choice B (Press the emergency response button) is incorrect as it does not address the immediate need to assess the patient's airway. Choice C (Place the patient on a face mask delivering 100% oxygen) is incorrect as it assumes the patient's airway is compromised and does not address the need to assess first. Choice D (Insert a spare tracheostomy without the obturator) is also incorrect as this action should only be taken if the tracheostomy tube is completely dislodged and the nurse has assessed that it is necessary.
Question 4 of 5
A nurse is caring for a client who has a chest tube. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Drainage of 80 mL of fluid in the past hour. This finding indicates excessive drainage, which could be a sign of hemorrhage or other complications requiring immediate medical attention. A: Intermittent bubbling in the water seal chamber is expected and indicates proper functioning of the chest tube system. C: Tidaling in the water seal chamber with respiration is a normal finding that indicates the system is functioning correctly. D: Fluctuation in the drainage tubing with breathing is also a normal finding that shows the chest tube is working properly. In summary, choice B is the correct answer as it signals a potentially serious issue, while the other choices are normal findings associated with a functioning chest tube system.
Question 5 of 5
The nurse is reviewing ABG results for a client with acute respiratory failure. Which finding requires immediate intervention?
Correct Answer: B
Rationale: The correct answer is B because the ABG results show respiratory acidosis (low pH) with hypoxemia (low PaO2) and hypercapnia (high PaCO2), indicating acute respiratory failure. Immediate intervention is needed to improve oxygenation and ventilation to prevent further deterioration. Choices A, C, and D do not show significant abnormalities requiring immediate intervention. A has slightly low PaO2 but normal pH and PaCO2. C has normal ABG values. D shows respiratory alkalosis with normal oxygenation and ventilation.