ATI RN
Fundamentals of Nursing Oxygenation Questions Questions
Question 1 of 5
The nurse teaches a patient how to minimize exposure to others while being treated for tuberculosis (TB). Which statement by the patient indicates a need for further teaching?
Correct Answer: C
Rationale: The correct answer is C because the patient should continue wearing a mask even after symptoms improve to prevent the spread of TB. Step 1: Wearing a mask helps minimize airborne transmission. Step 2: Discontinuing mask prematurely increases infection risk. Step 3: Options A, B, and D are correct as they promote isolation, ventilation, and precautions during the contagious period.
Question 2 of 5
Which finding in a patient with asthma indicates a need for immediate intervention?
Correct Answer: A
Rationale: The correct answer is A: Use of accessory muscles during respiration. This finding in a patient with asthma indicates a need for immediate intervention because it signifies severe respiratory distress and impending respiratory failure. Accessory muscle use suggests that the patient is struggling to breathe and is unable to maintain adequate oxygenation. This requires prompt medical attention to prevent further deterioration. Summary: B: Oxygen saturation of 92% on room air may indicate mild hypoxemia but is not as urgent as the use of accessory muscles. C: Mild expiratory wheezing is a common finding in asthma exacerbations and may not necessarily require immediate intervention. D: Peak expiratory flow rate of 85% of personal best indicates moderate airflow limitation but does not necessarily require immediate intervention unless accompanied by other severe symptoms.
Question 3 of 5
Which assessment finding in a patient with pneumonia requires immediate notification of the healthcare provider?
Correct Answer: C
Rationale: The correct answer is C: Oxygen saturation of 85% despite oxygen therapy. This finding indicates severe hypoxemia, which can lead to tissue damage or organ failure. Immediate notification is crucial to address the patient's inadequate oxygenation. Crackles in the lower lung fields (A) are common in pneumonia but don't require immediate notification. A respiratory rate of 24 breaths per minute (B) may indicate respiratory distress but is not as concerning as severe hypoxemia. Productive cough with yellow sputum (D) is a common symptom of pneumonia but doesn't indicate an urgent need for provider notification.
Question 4 of 5
The nurse observes diminished breath sounds on one side of a patient with a chest tube. What is the nurse's priority action?
Correct Answer: B
Rationale: The correct answer is B: Check the chest tube for kinks or obstructions. The priority action is to ensure the chest tube is functioning properly as diminished breath sounds could indicate a blockage or dislodgement. By checking for kinks or obstructions first, the nurse can address the immediate issue and prevent complications. Reassessing after 30 minutes (A) delays necessary intervention. Clamping the tube (C) can lead to a tension pneumothorax. Notifying the healthcare provider (D) is important but not immediate in this situation.
Question 5 of 5
A patient with influenza develops crackles in the lungs. What should the nurse do next?
Correct Answer: B
Rationale: The correct answer is B: Notify the provider of possible pneumonia. Crackles in the lungs in a patient with influenza could indicate pneumonia, which requires prompt treatment. Notifying the provider allows for further assessment and appropriate management. Monitoring vital signs (A) is important but does not address the potential complication of pneumonia. Providing supportive care and hydration (C) is necessary but does not address the urgent need to consider pneumonia. Administering decongestants (D) is not appropriate for treating pneumonia and may not address the underlying cause of crackles in the lungs.