ATI RN
Fundamentals of Nursing Oxygenation Practice Questions Questions
Question 1 of 5
The nurse is caring for a mechanically ventilated patient with a cuffed tracheostomy tube. Which action by the nurse would determine if the cuff has been properly inflated?
Correct Answer: A
Rationale: Measuring cuff pressure with a manometer ensures it's within safe limits to prevent tracheal damage.
Question 2 of 5
A patient has just been admitted with probable bacterial pneumonia and sepsis. Which order should the nurse implement first?
Correct Answer: B
Rationale: Blood cultures must be obtained before antibiotics to identify the causative organism accurately.
Question 3 of 5
A patient is scheduled for spirometry. Which action should the nurse take to prepare the patient for this procedure?
Correct Answer: C
Rationale: Bronchodilators can alter spirometry results by improving lung function temporarily. Withholding them for 6-12 hours ensures an accurate baseline measurement of lung capacity.
Question 4 of 5
A young adult female patient with cystic fibrosis (CF) tells the nurse that she is considering getting married and wondering about having children. Which initial response by the nurse is best?
Correct Answer: B
Rationale: This open-ended response encourages discussion and supports patient autonomy.
Question 5 of 5
When a patient has severe respiratory distress, what should the nurse prioritize?
Correct Answer: B
Rationale: When a patient has severe respiratory distress, only information pertinent to the current episode is obtained, and a more thorough assessment is deferred until later. Obtaining a comprehensive health history or full physical examination is unnecessary until the acute distress has resolved. Brief questioning and a focused physical assessment should be done rapidly to help determine the cause of the distress and suggest treatment. Checking for allergies is important, but it is not appropriate to complete the entire admission database at this time. The initial respiratory assessment must be completed before any diagnostic tests or interventions can be ordered.