ATI RN
Oxygen Questions and Answers PDF Questions
Question 1 of 5
A patient with chronic obstructive pulmonary disease (COPD) has poor gas exchange. Which action by the nurse would support the patient's ventilation?
Correct Answer: B
Rationale: The correct answer is B: Encourage the patient to sit up at the bedside in a chair and lean forward. This position, known as the orthopneic position, helps improve ventilation in COPD patients by reducing the pressure on the diaphragm and allowing for better expansion of the lungs. By sitting up and leaning forward, the patient can maximize their lung capacity and facilitate better gas exchange. A: Having the patient rest in bed with the head elevated to 15 to 20 degrees may help with breathing comfort but does not provide the same level of lung expansion as the orthopneic position. C: Resting in bed in a high-Fowler's position with the knees flexed may help with respiratory effort but does not promote optimal ventilation like sitting up in a chair and leaning forward. D: This is a duplicate of option C. In summary, option B is the best choice as it directly supports improved ventilation and gas exchange in COPD patients compared to the other options.
Question 2 of 5
A nurse is caring for a patient with a history of hypertension who is complaining of chest pain. What is the priority action?
Correct Answer: A
Rationale: The correct answer is A: Administer nitroglycerin. Nitroglycerin is the priority action for chest pain in a patient with a history of hypertension as it helps dilate blood vessels, reducing cardiac workload and improving blood flow to the heart. This can help alleviate chest pain in the setting of a possible myocardial infarction. Aspirin (B) is also commonly given to patients with chest pain to prevent clot formation, but nitroglycerin takes precedence in this scenario. Sublingual nitroglycerin (C) is specifically mentioned as the correct choice, as it is a rapid-acting form of the medication. Corticosteroids (D) are not indicated for the immediate management of chest pain in this context.
Question 3 of 5
A nurse is caring for a postoperative patient who is complaining of severe pain. What is the priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Administer pain medications. Severe pain can lead to increased stress and complications in postoperative patients. Administering pain medications is the priority intervention to provide comfort, improve patient outcomes, and ensure adequate pain management. Antiemetics (B) are used to treat nausea and vomiting, not pain. Administering fluids and electrolytes (C) is important but not the priority in this scenario. Administering a platelet inhibitor (D) is unrelated to managing severe pain in a postoperative patient.
Question 4 of 5
After the nurse has received change-of-shift report, which patient should the nurse assess first?
Correct Answer: C
Rationale: Post-bronchoscopy patients are at risk for complications like bleeding or airway issues, requiring priority assessment.
Question 5 of 5
After being hit by a baseball, a patient arrives in the emergency department with a possible nasal fracture. Which finding by the nurse is most important to report to the health care provider?
Correct Answer: A
Rationale: Clear nasal drainage could indicate cerebrospinal fluid leak, a serious complication requiring urgent reporting.