ATI RN
Oxygenation Nursing Practice Questions Questions
Question 1 of 5
The nurse is caring for a client with pneumonia. Which intervention is most effective in preventing hospital-acquired pneumonia?
Correct Answer: C
Rationale: Rationale for Correct Answer C: Performing frequent oral care is the most effective intervention in preventing hospital-acquired pneumonia. This is because oral care helps to reduce the risk of oral bacteria being aspirated into the lungs, which can lead to pneumonia. By keeping the mouth clean and free of harmful bacteria, the risk of pneumonia is significantly reduced. Summary of Incorrect Choices: A: Administering antibiotics as prescribed may be necessary for treating pneumonia, but it does not directly prevent hospital-acquired pneumonia. B: Encouraging ambulation several times daily is important for preventing complications like deep vein thrombosis in hospitalized patients, but it does not directly prevent pneumonia. D: Providing a high-calorie, high-protein diet is important for overall nutrition and immune function, but it does not directly prevent hospital-acquired pneumonia.
Question 2 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 3 of 5
A client with pulmonary embolism is receiving anticoagulant therapy. Which laboratory value should the nurse monitor to assess for potential complications?
Correct Answer: B
Rationale: The correct answer is B: Prothrombin time (PT). PT measures the clotting ability of the blood and is crucial in monitoring anticoagulant therapy effectiveness. Changes in PT can indicate potential complications such as bleeding or clot formation. Platelet count (A) assesses risk of bleeding, but not specific to anticoagulant therapy. Hemoglobin level (C) monitors for anemia, not directly related to anticoagulant therapy. White blood cell count (D) indicates infection or inflammation, not specific to anticoagulant therapy complications.
Question 4 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 5 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.