ATI RN
Oxygen Questions and Answers PDF Questions
Question 1 of 5
The nurse is evaluating the effectiveness of a bronchodilator for a client with asthma. Which finding indicates improvement?
Correct Answer: A
Rationale: The correct answer is A: Decreased wheezing on auscultation. Wheezing is a common symptom of asthma due to narrowed airways. Improvement in asthma would lead to decreased wheezing as the airways open up, allowing for better airflow. This indicates that the bronchodilator is effectively working to dilate the airways and improve respiratory function. Choice B: Respiratory rate increased to 24 breaths per minute is incorrect as an increased respiratory rate could indicate respiratory distress or worsening of asthma symptoms. Choice C: Heart rate increased to 110 beats per minute is incorrect as an increased heart rate could indicate stress or anxiety, not necessarily improvement in asthma. Choice D: Mild hand tremors reported by the client is incorrect as hand tremors are a common side effect of bronchodilators and not a direct indicator of asthma improvement.
Question 2 of 5
A patient is diagnosed with an acute asthma attack. Which medication should the nurse administer first?
Correct Answer: B
Rationale: The correct answer is B: Albuterol (Ventolin HFA) 2.5 mg per nebulizer. In an acute asthma attack, the priority is to quickly open the airways to improve breathing. Albuterol is a short-acting beta agonist that acts rapidly to bronchodilate and relieve bronchospasm. Administering it via nebulizer allows for fast delivery and effective relief. Methylprednisolone (A) is a corticosteroid that helps reduce inflammation but works more slowly and is typically given after initial bronchodilator therapy. Salmeterol (C) is a long-acting beta agonist not used for immediate relief in acute attacks. Ipratropium (D) is an anticholinergic that can also help with bronchodilation but is not the first-line treatment for acute asthma exacerbations.
Question 3 of 5
The nurse teaches a patient about reducing the risk of influenza transmission. Which statement by the patient indicates a need for further teaching?
Correct Answer: C
Rationale: The correct answer is C because taking antibiotics for influenza is ineffective as influenza is a viral infection, not bacterial. Antibiotics only work against bacteria. Step 1: Influenza is caused by a virus. Step 2: Antibiotics do not treat viral infections. Step 3: Taking antibiotics for influenza will not help. Summary: A, B, and D are correct strategies for reducing influenza transmission, while C is incorrect as antibiotics are not appropriate for treating influenza.
Question 4 of 5
Which nursing intervention is a priority for a patient with a newly inserted chest tube?
Correct Answer: B
Rationale: The correct answer is B: Monitor for continuous bubbling in the water-seal chamber. This is the priority intervention because continuous bubbling indicates an air leak, which can lead to a pneumothorax. By monitoring for bubbling, the nurse can detect and address the issue promptly. Clamping the chest tube during transport (choice A) is incorrect as it can lead to a tension pneumothorax. Encouraging coughing and deep breathing (choice C) is important for respiratory hygiene but not the priority. Keeping the drainage system at the patient's chest level (choice D) is crucial for proper drainage but does not address the immediate concern of detecting an air leak.
Question 5 of 5
Which action should the nurse prioritize after a patient undergoes a thoracentesis?
Correct Answer: B
Rationale: The correct answer is B: Check for signs of pneumothorax. After thoracentesis, the nurse must prioritize checking for signs of pneumothorax as it is a potential complication. Symptoms include sudden chest pain, shortness of breath, and decreased oxygen saturation. Monitoring blood pressure and encouraging deep breathing are important but not the priority. Sending the fluid sample to the lab can be done later, as immediate assessment for complications is crucial.