ATI RN
Fundamentals of Nursing Oxygenation Questions Questions
Question 1 of 5
In a 12-lead ECG, which leads are used to assess the lateral wall of the heart?
Correct Answer: C
Rationale: Leads V5 and V6 assess the lateral wall of the left ventricle.
Question 2 of 5
A nurse is caring for a patient who suddenly begins to have respiratory difficulty. In what position would the nurse place the patient to facilitate respirations?
Correct Answer: C
Rationale: High Fowler's position (sitting upright) facilitates lung expansion and eases breathing in respiratory distress.
Question 3 of 5
Which of the following problems with the airway is a common cause of respiratory insufÃciency?
Correct Answer: D
Rationale: The correct answer is D: Obstruction. Obstruction of the airway can lead to respiratory insufficiency by blocking the flow of air in and out of the lungs. This can result in inadequate oxygen exchange, leading to respiratory distress. Expiration (choice A) is the process of exhaling air, not a problem with the airway itself. Hypercapnia (choice B) is an elevated level of carbon dioxide in the blood, which can be a consequence of respiratory insufficiency but is not a direct problem with the airway. Infection (choice C) can also affect the airway, but it is not as common of a cause of respiratory insufficiency as obstruction.
Question 4 of 5
The nurse would expect a patient with right-sided heart failure to have which of the following?
Correct Answer: A
Rationale: The correct answer is A: Peripheral edema. In right-sided heart failure, the right side of the heart is unable to effectively pump blood to the lungs for oxygenation, leading to fluid backup in the venous system. This results in increased pressure in the peripheral veins, leading to fluid leakage into the surrounding tissues, causing peripheral edema. Basilar crackles (B) are associated with left-sided heart failure due to pulmonary congestion. Chest pain (C) is not typically a primary symptom of right-sided heart failure. Cyanosis (D) is usually seen in advanced stages of heart failure when oxygen saturation is severely compromised and is not specific to right-sided heart failure.
Question 5 of 5
A nurse is caring for a client who has a chest tube. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Monitor the client for subcutaneous emphysema. Subcutaneous emphysema is a potential complication of a chest tube insertion, characterized by air trapped under the skin. The nurse should assess the client for signs like a crackling sensation upon palpation. This action is crucial as early detection can prevent serious complications. Choices B and C are incorrect. Continuous bubbling in the water seal chamber indicates an air leak, which should be reported immediately. Keeping the drainage system above the chest level can lead to backflow of drainage into the client, increasing the risk of infection. Choice D is incorrect as clamping the chest tube during ambulation can cause a tension pneumothorax.