ATI RN
Nursing Questions on Oxygenation Questions
Question 1 of 5
Which action should the nurse plan to prevent aspiration in a high-risk patient?
Correct Answer: B
Rationale: Rationale: Option B is correct as placing a patient with altered consciousness in a side-lying position helps prevent aspiration by allowing gravity to aid in drainage of secretions and prevents the tongue from obstructing the airway. Turning and repositioning an immobile patient (Option A) helps prevent pressure ulcers but does not directly prevent aspiration. Inserting a nasogastric tube for feeding (Option C) is not a preventive measure for aspiration and may actually increase the risk. Monitoring respiratory symptoms in an immunosuppressed patient (Option D) is important for identifying respiratory infections but does not directly prevent aspiration.
Question 2 of 5
Which assessment finding in a patient receiving oxygen therapy is most concerning?
Correct Answer: C
Rationale: The correct answer is C: Lethargy and confusion. This is the most concerning assessment finding in a patient receiving oxygen therapy because it indicates potential oxygen deprivation to the brain, which can lead to serious complications. Lethargy and confusion are signs of hypoxia, which can be life-threatening if not addressed promptly. Respiratory rate of 24 breaths per minute (choice A) may indicate increased effort to breathe but is not as immediately concerning as hypoxia. Oxygen saturation of 92% (choice B) is below the normal range but not critically low. Mild nasal dryness (choice D) is a common side effect of oxygen therapy and does not indicate a serious issue with oxygen delivery.
Question 3 of 5
The nurse is teaching a patient about how to manage pleural effusion. Which patient statement indicates understanding?
Correct Answer: C
Rationale: Step-by-step rationale for why choice C is correct: 1. Pleural effusion can cause shortness of breath. 2. Promptly notifying the healthcare provider about worsening symptoms is crucial. 3. Demonstrates patient understanding of the condition. 4. Enables timely intervention to prevent complications. Summary of why other choices are incorrect: A: Limiting fluid intake may not directly impact pleural effusion. B: Lying flat may not be recommended post-procedure and could worsen symptoms. D: Monitoring every six months is insufficient for a condition that can cause acute symptoms.
Question 4 of 5
Which patient statement about tuberculosis treatment indicates a need for further teaching?
Correct Answer: B
Rationale: The correct answer is B. The patient should continue wearing a mask until the treatment is completed to prevent the spread of tuberculosis. Stopping the mask before completing treatment can lead to transmission of the disease. Choices A, C, and D are correct statements that show understanding of tuberculosis treatment and monitoring.
Question 5 of 5
The nurse is caring for a patient after a bronchoscopy. Which assessment finding requires immediate attention?
Correct Answer: B
Rationale: The correct answer is B because an oxygen saturation of 88% indicates hypoxemia, which is a life-threatening condition requiring immediate intervention to prevent complications. Oxygen saturation should ideally be above 95%. A: Sore throat and hoarseness are common after bronchoscopy and can be managed with comfort measures. C: Mild blood-tinged sputum is expected post-bronchoscopy due to irritation of the airways. D: Drowsiness post-procedure is a common side effect of sedation and should improve over time without immediate intervention.