ATI RN
Fundamentals of Nursing Oxygenation Practice Questions Questions
Question 1 of 5
When caring for a patient with atrial fibrillation, the nurse is most concerned with which vital sign?
Correct Answer: A
Rationale: The correct answer is A: Heart rate. In atrial fibrillation, the heart rate is irregular and can be rapid, leading to ineffective pumping of blood. Monitoring heart rate is crucial to assess the patient's cardiac function and response to treatment. Pain (B) is not typically a primary concern in atrial fibrillation. Oxygen saturation (C) is important but not as directly related to the condition. Blood pressure (D) is important but may not be as immediately affected by atrial fibrillation as heart rate.
Question 2 of 5
A nurse is caring for a client receiving supplemental oxygen. The nurse notes that the client's oxygen saturation is 88%. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Assess the client for signs of respiratory distress. This is the first action the nurse should take because an oxygen saturation of 88% indicates hypoxemia, which can lead to respiratory distress. By assessing the client, the nurse can determine if the client is in immediate need of intervention. Increasing oxygen flow rate (A) may be necessary, but assessing the client's condition comes first. Notifying the provider (C) can be done after assessing the client's immediate needs. Administering a bronchodilator (D) may be indicated if respiratory distress is due to bronchoconstriction, but assessing the client's overall condition is the priority.
Question 3 of 5
The nurse is caring for a client with acute bronchitis. Which instruction is most important for preventing complications?
Correct Answer: B
Rationale: The correct answer is B: Drink at least 8 glasses of water daily. Adequate hydration helps thin mucus, making it easier to expel and reducing the risk of complications like pneumonia. Humidifiers can actually worsen bronchitis by promoting mold growth. Light exercise can help with lung function, but hydration is more crucial. Cough suppressants may hinder mucus clearance, leading to further complications.
Question 4 of 5
The nurse is assessing a client with chronic bronchitis. Which finding is most concerning?
Correct Answer: D
Rationale: The correct answer is D: Oxygen saturation of 88%. This finding is most concerning because it indicates hypoxemia, which can lead to serious complications in a client with chronic bronchitis. Hypoxemia can result in tissue damage and impaired organ function. A low oxygen saturation level requires immediate intervention to prevent further deterioration. Choice A (Productive cough with thick sputum) is a common symptom of chronic bronchitis and may indicate an exacerbation, but it is not as immediately concerning as hypoxemia. Choice B (Clubbing of fingers) is a late sign of chronic hypoxemia and may be present in clients with chronic bronchitis, but it is not as urgent as a low oxygen saturation level. Choice C (Peripheral cyanosis) is also a sign of hypoxemia, but oxygen saturation level provides a more accurate assessment of the client's oxygenation status.
Question 5 of 5
A client with pneumonia develops pleuritic chest pain. What is the nurse's priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Administering prescribed analgesics. The priority intervention is to manage the client's pain to promote comfort and encourage deep breathing and coughing. This helps prevent complications such as atelectasis. Positioning for comfort is important but not the priority when the client is experiencing pleuritic chest pain. Assessing for pleural effusion is relevant but not the immediate priority over addressing the client's pain.