ATI RN
Fundamentals of Nursing Oxygenation Questions Questions
Question 1 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 2 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.
Question 3 of 5
The nurse is caring for a patient with tuberculosis (TB). What instruction should the nurse prioritize?
Correct Answer: C
Rationale: The correct answer is C: Use a tissue to cover your mouth when coughing. This is the priority instruction because TB is spread through respiratory droplets. By covering the mouth when coughing, the patient reduces the risk of spreading the infection to others. Choice A is incorrect because wearing a mask outdoors does not prevent the spread of TB as effectively as covering the mouth when coughing. Choice B is incorrect because stopping medications prematurely can lead to treatment failure and drug resistance. Choice D is incorrect because there is no need to avoid dairy products while on TB treatment unless specifically advised by a healthcare provider.
Question 4 of 5
The nurse prepares a patient for a thoracentesis. What is the most appropriate action?
Correct Answer: C
Rationale: The most appropriate action is to instruct the patient to remain still during the thoracentesis procedure to minimize the risk of complications such as injury to surrounding tissues. Moving during the procedure can lead to inaccurate placement of the needle and potential damage. Positioning the patient in a semi-Fowler's position (A) is often used for comfort but not crucial for the procedure. Ensuring NPO status (B) is not necessary for thoracentesis. Administering analgesics (D) is not typically done before the procedure unless there is a specific reason.
Question 5 of 5
A nurse prepares a patient with pleural effusion for thoracentesis. What is the appropriate position for the procedure?
Correct Answer: B
Rationale: The correct answer is B: Sitting upright and leaning over a bedside table. This position allows gravity to assist in moving the fluid away from the needle insertion site, reducing the risk of puncturing underlying structures. Sitting position also facilitates easier breathing during the procedure. A: Supine with the head of the bed flat is incorrect because it may not allow adequate drainage of the pleural effusion and increases the risk of complications. C: Prone with arms extended forward is incorrect as it does not promote effective drainage of the fluid and may cause discomfort to the patient. D: Lying on the unaffected side is incorrect as it does not utilize gravity to assist in fluid drainage and may not provide optimal access for the procedure.