ATI RN
Oxygenation Nursing Practice Questions Questions
Question 1 of 5
The nurse is reviewing ABG results for a client with acute respiratory failure. Which finding requires immediate intervention?
Correct Answer: B
Rationale: The correct answer is B because the ABG results show respiratory acidosis (low pH) with hypoxemia (low PaO2) and hypercapnia (high PaCO2), indicating acute respiratory failure. Immediate intervention is needed to improve oxygenation and ventilation to prevent further deterioration. Choices A, C, and D do not show significant abnormalities requiring immediate intervention. A has slightly low PaO2 but normal pH and PaCO2. C has normal ABG values. D shows respiratory alkalosis with normal oxygenation and ventilation.
Question 2 of 5
A nurse is caring for a client with pulmonary edema. Which assessment finding requires immediate action?
Correct Answer: A
Rationale: The correct answer is A: Productive cough with pink, frothy sputum. This finding indicates potential pulmonary edema, a life-threatening condition. Pink, frothy sputum suggests blood-tinged fluid in the lungs, requiring immediate intervention. Options B and C are concerning but can be managed with timely interventions. Option D is within the normal range for respiratory rate and does not indicate immediate danger.
Question 3 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 4 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 5 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.