ATI RN
Nursing Fundamentals Oxygenation Questions Questions
Question 1 of 5
Which is the most effective intervention for preventing pneumonia in a hospitalized patient?
Correct Answer: B
Rationale: The correct answer is B: Promoting early ambulation. Early ambulation helps prevent pneumonia by reducing the risk of atelectasis, a common complication in hospitalized patients that can lead to pneumonia. Moving and mobilizing the patient helps to clear secretions and improve lung function. Antibiotics (choice A) are not recommended for routine prophylaxis due to concerns about antibiotic resistance. While oral care (choice C) and fluid intake (choice D) are important for overall patient health, they do not directly prevent pneumonia in hospitalized patients.
Question 2 of 5
Which patient statement indicates a need for further teaching about asthma management?
Correct Answer: A
Rationale: The correct answer is A because using a rescue inhaler before meals is not a recommended practice for asthma management. Rescue inhalers are typically used for immediate relief during asthma attacks, not as a preventive measure before meals. This statement indicates a misunderstanding of how to use the inhaler properly. Choice B is correct as it shows an understanding of avoiding triggers to manage asthma symptoms. Choice C is correct because taking the long-acting inhaler as prescribed is an essential part of asthma management. Choice D is also correct as carrying the inhaler at all times ensures readiness for any asthma exacerbation.
Question 3 of 5
The nurse is educating a patient with chronic bronchitis about using a metered-dose inhaler (MDI). What statement by the patient indicates understanding?
Correct Answer: A
Rationale: Rationale for Correct Answer (A): Shaking the inhaler before each use ensures proper mixing of the medication for consistent dose delivery. This statement indicates understanding of the correct technique for using a metered-dose inhaler. Summary of Incorrect Choices: B: Exhaling forcefully after inhaling the medication is not a recommended step and can reduce medication deposition in the lungs. C: Cleaning the inhaler once a month is not frequent enough, as it should be cleaned regularly to prevent buildup and ensure proper functioning. D: Taking the inhaler right before meals is not a specific instruction related to the correct technique for using a metered-dose inhaler.
Question 4 of 5
An older patient is receiving standard multidrug therapy for tuberculosis (TB). The nurse should notify the health care provider if the patient exhibits which finding?
Correct Answer: B
Rationale: The correct answer is B: Orange-colored sputum. This finding may indicate rifampin-induced discoloration of bodily fluids, a common side effect of TB medication. The healthcare provider should be notified to assess for possible liver toxicity. Yellow-tinged sclera (A) may indicate jaundice but is common with rifampin use. Thickening of the fingernails (C) is not typically associated with TB medication. Difficulty hearing high-pitched voices (D) is unrelated to TB treatment.
Question 5 of 5
A nurse is caring for a patient with a history of myocardial infarction (MI). What is the priority intervention during the acute phase?
Correct Answer: A
Rationale: The correct answer is A: Administer aspirin. During the acute phase of myocardial infarction (MI), aspirin is crucial to reduce platelet aggregation and prevent further clot formation in the coronary arteries, reducing the risk of reinfarction. Aspirin helps improve blood flow to the heart muscle, minimizing damage. Thrombolytic therapy (choice B) is important but is typically given within the first few hours of symptom onset, not during the acute phase. Administering IV fluids (choice C) may be necessary for hemodynamic support but is not the priority intervention. Administering an oral anticoagulant (choice D) is not the initial priority in the acute phase of MI.