ATI RN
Oxygenation Nursing Practice Questions Questions
Question 1 of 5
The nurse is caring for a client with pleurisy. Which intervention is most appropriate to manage the client's pain?
Correct Answer: B
Rationale: The correct answer is B: Administer a prescribed NSAID. NSAIDs are commonly used to manage pain associated with pleurisy by reducing inflammation and relieving discomfort. Deep breathing exercises (choice A) may worsen pain due to increased movement of the chest wall. Positioning the client flat on the back (choice C) may exacerbate pain by putting pressure on the affected area. Restricting fluid intake (choice D) is not indicated for pain management in pleurisy. Administering NSAIDs is the most appropriate intervention to address the underlying cause of pain in pleurisy.
Question 2 of 5
The nurse is preparing to administer a bronchodilator to a client with asthma. What assessment is most important before administration?
Correct Answer: C
Rationale: The correct answer is C: Measuring the client's heart rate. Before administering a bronchodilator to a client with asthma, it is crucial to assess the heart rate as bronchodilators can cause tachycardia as a side effect. Monitoring the heart rate will help determine the client's baseline status and identify any potential adverse reactions. Checking the respiratory rate (choice A) is important but not the most critical assessment before administering a bronchodilator. Assessing lung sounds (choice B) is relevant but does not directly address the potential cardiovascular side effects of the medication. Monitoring oxygen saturation levels (choice D) is essential but does not specifically focus on the cardiovascular response to the bronchodilator.
Question 3 of 5
The nurse is teaching a client with tuberculosis about the importance of medication adherence. What is the most critical point to emphasize?
Correct Answer: A
Rationale: Rationale: A: Completing the full course of medication is crucial to prevent drug resistance and fully eradicate the bacteria. B: Taking medication only when symptoms worsen can lead to treatment failure and spread of drug-resistant strains. C: Avoiding direct sunlight is not directly related to medication adherence in tuberculosis treatment. D: Consuming a high-fat diet does not improve drug absorption and is not necessary for treatment success.
Question 4 of 5
The nurse is caring for a client with a tracheostomy. Which finding requires immediate intervention?
Correct Answer: B
Rationale: The correct answer is B because oxygen saturation of 88% indicates hypoxemia, which requires immediate intervention to prevent complications. Hypoxemia can lead to tissue damage and organ dysfunction. Oxygen therapy is needed to improve oxygen saturation. Choices A, C, and D are not as urgent. Mucus in the tracheostomy tube can be suctioned, mild redness can be monitored for infection, and effective coughing indicates airway patency.
Question 5 of 5
A patient with acute dyspnea is scheduled for a spiral computed tomography (CT) scan. Which information obtained by the nurse is a priority to communicate to the health care provider before the CT?
Correct Answer: A
Rationale: Step-by-step rationale: 1. Allergy to shellfish is critical as iodinated contrast used in CT scans may cause an allergic reaction. 2. Respiratory rate of 30 is concerning but may be due to dyspnea, which is the reason for the CT scan. 3. Apical pulse of 104 is slightly elevated but not an immediate concern for the CT scan. 4. O2 saturation of 90% is low, but the patient may need oxygen during the CT scan, not necessarily a contraindication. Summary: Communicating the allergy to shellfish is essential as it impacts the safety of using contrast during the CT scan. The other vital signs may be addressed during or after the scan without posing an immediate risk.