ATI RN
Nursing Questions on Oxygenation Questions
Question 1 of 5
The nurse is evaluating a client with bronchitis. Which symptom is most concerning?
Correct Answer: C
Rationale: The correct answer is C: Shortness of breath at rest. This symptom is concerning as it indicates severe respiratory distress, potentially leading to respiratory failure. Shortness of breath at rest is a red flag for worsening bronchitis or complications like pneumonia. A: Persistent productive cough is common in bronchitis and may indicate ongoing inflammation or infection. It is not as immediately concerning as shortness of breath at rest. B: Yellow-green sputum suggests a bacterial infection, but it is not as urgent as shortness of breath at rest. D: Low-grade fever is a common symptom of bronchitis and may not indicate a severe condition unless it persists or worsens.
Question 2 of 5
A client is diagnosed with tuberculosis and started on isoniazid therapy. What is the most important teaching point?
Correct Answer: B
Rationale: The correct answer is B because yellowing of the skin or eyes can indicate liver toxicity, a serious side effect of isoniazid. Reporting this symptom promptly can prevent further complications. Choice A is incorrect because vitamin C does not interfere with isoniazid therapy. Choice C is incorrect as stopping medication prematurely can lead to drug resistance. Choice D is incorrect as antacids can reduce the effectiveness of isoniazid.
Question 3 of 5
A client with pulmonary embolism is receiving anticoagulation therapy. Which lab value requires immediate intervention?
Correct Answer: A
Rationale: Rationale: INR measures the effectiveness of anticoagulation therapy. INR of 1.2 is below the therapeutic range for pulmonary embolism treatment, indicating inadequate anticoagulation and risk of clot progression. Immediate intervention is necessary to adjust medication dosage. Platelet count, aPTT, and hemoglobin levels are within normal range and do not require immediate intervention.
Question 4 of 5
On auscultation of a patient's lungs, the nurse hears low-pitched, bubbling sounds during inhalation in the lower third of both lungs. How should the nurse document this finding?
Correct Answer: A
Rationale: The correct answer is A: Inspiratory crackles at the bases. This finding indicates the presence of crackles, which are discontinuous, non-musical sounds heard during inspiration. Crackles in the lower third of both lungs suggest the presence of fluid or mucus in the alveoli or small airways. The term "bases" refers to the lower portions of the lungs. Crackles are typically associated with conditions such as pneumonia, heart failure, or pulmonary edema. Explanation of other choices: B: Expiratory wheezes in both lungs - Wheezes are continuous, high-pitched musical sounds heard during expiration and are typically associated with asthma or bronchitis. This does not match the description provided in the question. C: Abnormal lung sounds in the apices of both lungs - The apices refer to the upper portions of the lungs. The description in the question does not match this location. D: Pleural friction rub in the right and left lower
Question 5 of 5
Which action should the nurse plan to prevent aspiration in a high-risk patient?
Correct Answer: B
Rationale: Rationale: Option B is correct as placing a patient with altered consciousness in a side-lying position helps prevent aspiration by allowing gravity to aid in drainage of secretions and prevents the tongue from obstructing the airway. Turning and repositioning an immobile patient (Option A) helps prevent pressure ulcers but does not directly prevent aspiration. Inserting a nasogastric tube for feeding (Option C) is not a preventive measure for aspiration and may actually increase the risk. Monitoring respiratory symptoms in an immunosuppressed patient (Option D) is important for identifying respiratory infections but does not directly prevent aspiration.