ATI RN
Fundamentals of Nursing Oxygenation Practice Questions Questions
Question 1 of 5
The nurse observes a student performing tracheostomy care. Which action by the student requires correction?
Correct Answer: B
Rationale: The correct answer is B because changing the tracheostomy ties before cleaning the stoma can lead to contamination of the stoma site. The correct sequence should be to first clean the stoma with saline solution, then change the tracheostomy ties, and finally apply a new sterile dressing. This helps prevent infection and ensures proper hygiene. Choices A, C, and D are incorrect because using sterile technique for suctioning, applying a new sterile dressing, and cleaning the stoma with saline solution are all appropriate actions in tracheostomy care.
Question 2 of 5
A patient presents with pleuritic chest pain and fever. Which action should the nurse take first?
Correct Answer: A
Rationale: The correct action is to assess for diminished lung sounds first. Pleuritic chest pain and fever can indicate a potential respiratory issue like pneumonia. Assessing lung sounds can provide immediate information on the patient's respiratory status and guide further interventions. Administering antipyretics can help manage the fever but does not address the underlying cause. Obtaining a sputum sample for culture is important for identifying the specific pathogen causing the infection but is not the first priority. Placing the patient in a high Fowler's position can improve oxygenation but should come after assessing lung sounds to ensure appropriate positioning.
Question 3 of 5
A patient recovering from thoracotomy reports shortness of breath and chest pain. What should the nurse do first?
Correct Answer: B
Rationale: The correct answer is B: Assess for tracheal deviation. This is the priority because it can indicate a pneumothorax, a potentially life-threatening complication of thoracotomy. Tracheal deviation could suggest a tension pneumothorax, which requires immediate intervention to prevent respiratory distress and cardiac compromise. Administering analgesics (A) may be necessary but not the first priority. Encouraging the use of an incentive spirometer (C) and positioning the patient in semi-Fowler's position (D) can help improve lung function but are not as urgent as assessing for tracheal deviation.
Question 4 of 5
A patient presents with symptoms of a pulmonary embolism. What is the nurse's initial action?
Correct Answer: B
Rationale: The correct initial action for a patient with suspected pulmonary embolism is to elevate the head of the bed and apply oxygen (Choice B). Elevating the head of the bed helps improve oxygenation and reduces the workload on the heart. Providing oxygen is crucial to ensure adequate oxygen supply to the tissues. Administering anticoagulants (Choice A) should come after stabilizing the patient. Preparing for a chest x-ray (Choice C) is important but not the immediate action. Placing the patient in a supine position (Choice D) can worsen the condition by reducing blood flow to the heart.
Question 5 of 5
A patient with asthma is prescribed a corticosteroid inhaler. What is the most important teaching point?
Correct Answer: B
Rationale: The correct answer is B: Rinse your mouth after using the inhaler. This is important because corticosteroid inhalers can cause oral thrush, a fungal infection in the mouth. Rinsing the mouth after use helps prevent this side effect. Choice A is incorrect because corticosteroid inhalers are used for long-term control, not during acute attacks. Choice C is incorrect as corticosteroid inhalers are usually taken on an empty stomach. Choice D is incorrect as using a spacer with the inhaler can actually improve drug delivery and effectiveness.