ATI RN
Nursing Fundamentals Oxygenation Questions Questions
Question 1 of 5
The nurse is teaching a client with asthma about using a spacer with an inhaler. What is the primary benefit of using a spacer?
Correct Answer: A
Rationale: The correct answer is A because a spacer helps deliver medication more effectively to the lungs by slowing down the speed of the medication particles, allowing for better penetration into the lungs. This improves drug delivery and reduces the risk of side effects. Choices B, C, and D are incorrect because using a spacer does not eliminate the need for deep breaths, prevent oral thrush, or reduce the frequency of inhaler use.
Question 2 of 5
The nurse provides discharge instructions to a patient who was hospitalized for pneumonia. Which statement, if made by the patient, indicates a good understanding of the instructions?
Correct Answer: B
Rationale: The correct answer is B: "I will continue to do deep breathing and coughing exercises at home." This statement shows good understanding as these exercises help prevent complications like pneumonia recurrence. Choice A is incorrect because feeling tired after a week is a vague symptom. Choice C is incorrect as scheduling two vaccine appointments is unnecessary. Choice D is incorrect as canceling a follow-up chest x-ray can lead to missed complications.
Question 3 of 5
The nurse observes a patient with a tracheostomy coughing up thick secretions. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: The correct answer is A: Perform tracheal suctioning. This is the first intervention because thick secretions can obstruct the tracheostomy tube, leading to respiratory distress. Suctioning helps clear the airway to improve breathing. Encouraging oral fluid intake (B) may not be effective in clearing the secretions. Administering a mucolytic agent (C) may help liquefy secretions but suctioning is more immediate. Teaching about humidification (D) can help prevent thick secretions but immediate action is needed to clear the airway.
Question 4 of 5
A patient with chronic bronchitis is prescribed a combination inhaler containing a corticosteroid and a long-acting beta-agonist. Which instruction should the nurse emphasize?
Correct Answer: B
Rationale: The correct answer is B: Rinse your mouth after using this inhaler. The nurse should emphasize this instruction to prevent oral thrush, a common side effect of inhaled corticosteroids. Rinsing the mouth helps to remove any residual medication that can lead to fungal overgrowth. A: Using the inhaler during acute asthma attacks is not appropriate as this combination inhaler is indicated for chronic bronchitis, not for acute asthma exacerbations. C: Taking the medication only when symptoms occur is incorrect as these medications should be used regularly to control symptoms in chronic bronchitis. D: Shaking the inhaler before use is a common instruction for inhalers, but it is not the most crucial instruction for this particular combination inhaler.
Question 5 of 5
The nurse teaches a patient with asthma how to use a peak flow meter. Which statement indicates the need for additional instruction?
Correct Answer: B
Rationale: The correct answer is B because using the peak flow meter only when feeling short of breath may not provide an accurate assessment of lung function. The peak flow meter should be used regularly to monitor lung function, not just when symptoms are present. Option A is correct as exhaling forcefully ensures an accurate reading. Option C is correct as recording the highest reading is recommended for tracking progress. Option D is correct as using the meter before and after medications helps evaluate the effectiveness of treatment.