ATI RN
Nursing Fundamentals Oxygenation Questions Questions
Question 1 of 5
The nurse assesses a patient with a chest tube and notes continuous bubbling in the water-seal chamber. What is the best action?
Correct Answer: B
Rationale: The correct answer is B: Check for loose connections in the tubing. Continuous bubbling in the water-seal chamber indicates an air leak. Checking for loose connections ensures proper functioning of the chest tube drainage system. Clamping the chest tube (choice A) can lead to tension pneumothorax. Replacing the entire system (choice C) is unnecessary and costly. Notifying the healthcare provider (choice D) can be done after checking for loose connections.
Question 2 of 5
The nurse is educating a patient with chronic bronchitis about using a metered-dose inhaler (MDI). What statement by the patient indicates understanding?
Correct Answer: A
Rationale: Rationale for Correct Answer (A): Shaking the inhaler before each use ensures proper mixing of the medication for consistent dose delivery. This statement indicates understanding of the correct technique for using a metered-dose inhaler. Summary of Incorrect Choices: B: Exhaling forcefully after inhaling the medication is not a recommended step and can reduce medication deposition in the lungs. C: Cleaning the inhaler once a month is not frequent enough, as it should be cleaned regularly to prevent buildup and ensure proper functioning. D: Taking the inhaler right before meals is not a specific instruction related to the correct technique for using a metered-dose inhaler.
Question 3 of 5
An older patient is receiving standard multidrug therapy for tuberculosis (TB). The nurse should notify the health care provider if the patient exhibits which finding?
Correct Answer: B
Rationale: The correct answer is B: Orange-colored sputum. This finding may indicate rifampin-induced discoloration of bodily fluids, a common side effect of TB medication. The healthcare provider should be notified to assess for possible liver toxicity. Yellow-tinged sclera (A) may indicate jaundice but is common with rifampin use. Thickening of the fingernails (C) is not typically associated with TB medication. Difficulty hearing high-pitched voices (D) is unrelated to TB treatment.
Question 4 of 5
A nurse is caring for a patient with a history of myocardial infarction (MI). What is the priority intervention during the acute phase?
Correct Answer: A
Rationale: The correct answer is A: Administer aspirin. During the acute phase of myocardial infarction (MI), aspirin is crucial to reduce platelet aggregation and prevent further clot formation in the coronary arteries, reducing the risk of reinfarction. Aspirin helps improve blood flow to the heart muscle, minimizing damage. Thrombolytic therapy (choice B) is important but is typically given within the first few hours of symptom onset, not during the acute phase. Administering IV fluids (choice C) may be necessary for hemodynamic support but is not the priority intervention. Administering an oral anticoagulant (choice D) is not the initial priority in the acute phase of MI.
Question 5 of 5
A nurse is caring for a patient who has just had a stroke. What is the priority intervention?
Correct Answer: C
Rationale: The correct answer is C: Monitor vital signs frequently. The priority intervention after a stroke is to closely monitor vital signs to detect any signs of deterioration or complications early on. This helps in providing timely interventions to prevent further harm. Performing a neurological assessment (A) can be important but not the immediate priority. Administering clot-busting medications (B) should be done within a specific time frame and requires proper patient evaluation first. Administering intravenous fluids (D) may be necessary, but monitoring vital signs takes precedence to ensure the patient's stability.