ATI RN
Oxygen Questions and Answers PDF Questions
Question 1 of 5
The nurse discusses acute sinusitis management with a patient. Which statement indicates the need for further teaching?
Correct Answer: B
Rationale: The correct answer is B. Nasal decongestant sprays should not be used for more than 3 days due to the risk of rebound congestion. Choice A promotes hydration, which is beneficial. Choice C supports pain management. Choice D encourages monitoring for changes in nasal secretions, which is important for tracking progress. Long-term use of nasal decongestant sprays can worsen symptoms.
Question 2 of 5
What is the priority intervention for a patient experiencing an asthma attack?
Correct Answer: A
Rationale: The correct answer is A: Administer albuterol via inhaler. Albuterol is a bronchodilator that helps open the airways during an asthma attack, providing quick relief. This intervention addresses the underlying issue of bronchoconstriction, improving airflow and oxygenation. Other choices are not the priority: B could potentially worsen the condition by diluting the inspired oxygen with room air, C may not directly address the airway obstruction, and D, while helpful for managing symptoms, does not directly target bronchoconstriction during an acute attack.
Question 3 of 5
A patient with COPD complains of worsening fatigue and dyspnea. Which assessment finding requires immediate attention?
Correct Answer: B
Rationale: The correct answer is B: Oxygen saturation of 82% on room air. This finding indicates severe hypoxemia in a patient with COPD, necessitating immediate attention to prevent complications like respiratory failure. Clubbing of the fingers (choice A) is a sign of chronic hypoxia but does not require immediate attention. Increased anterior-posterior chest diameter (choice C) and barrel chest appearance (choice D) are common in COPD but do not indicate an acute issue requiring immediate intervention. Oxygen saturation is a crucial parameter to monitor in COPD patients as it directly reflects their respiratory status.
Question 4 of 5
A patient recovering from a thoracotomy reports incisional pain and decreased breath sounds. What is the nurse's best action?
Correct Answer: A
Rationale: The correct answer is A: Administer prescribed pain medication. Pain can inhibit deep breathing post-thoracotomy, leading to decreased breath sounds and potential complications. Addressing pain first allows the patient to take deep breaths with the incentive spirometer effectively. Encouraging shallow breathing (Choice C) may worsen atelectasis. Assisting with an incentive spirometer (Choice B) should follow pain management. Repositioning (Choice D) may not directly address the primary issue of incisional pain.
Question 5 of 5
The nurse observes a patient with COPD practicing pursed-lip breathing. What does this indicate?
Correct Answer: A
Rationale: The correct answer is A because pursed-lip breathing is a technique commonly used by patients with COPD to improve breathing efficiency by slowing down exhalation and keeping airways open. This helps to reduce air trapping and improve oxygen exchange. Option B is incorrect because pursed-lip breathing is not primarily used for anxiety reduction. Option C is incorrect as it doesn't directly relate to pursed-lip breathing. Option D is incorrect because pursed-lip breathing is a preventive technique rather than a response to acute shortness of breath.