ATI RN
Oxygen Cycle Questions and Answers Questions
Question 1 of 5
Which nursing diagnosis is the priority for this patient?
Correct Answer: C
Rationale: The correct answer is C, Impaired gas exchange, as it is a priority for this patient. Impaired gas exchange indicates potential respiratory compromise, which is a life-threatening condition requiring immediate intervention. Addressing gas exchange issues is crucial for maintaining oxygenation and preventing further complications. Activity intolerance (A) may be a concern but is secondary to gas exchange. Risk for skin breakdown (B) and risk for infection (D) are important but not as urgent as addressing impaired gas exchange in this scenario.
Question 2 of 5
A patient presents with a sudden onset of chest pain and dyspnea. The nurse suspects a pulmonary embolism. What is the priority action?
Correct Answer: C
Rationale: The correct answer is C: Administer oxygen via nasal cannula. Oxygen therapy is the priority action for a patient with suspected pulmonary embolism to improve oxygenation and decrease the workload on the heart. This helps in maintaining adequate oxygen levels and preventing hypoxia. Administering a bronchodilator (choice A) is not the priority as pulmonary embolism is not primarily a result of bronchoconstriction. Placing the patient in high Fowler's position (choice B) may help with breathing but is not as crucial as providing oxygen therapy. Preparing the patient for a chest X-ray (choice D) may be necessary for further evaluation, but oxygen therapy takes precedence in managing the acute respiratory distress associated with pulmonary embolism.
Question 3 of 5
A client is being evaluated for obstructive sleep apnea. Which assessment finding supports this diagnosis?
Correct Answer: A
Rationale: The correct answer is A: Daytime sleepiness and snoring. Daytime sleepiness is a common symptom of obstructive sleep apnea due to disrupted sleep patterns. Snoring is also a typical sign as it indicates airway obstruction during sleep. Morning headaches and blurred vision (choice B) can be associated with sleep apnea but are not specific. Intermittent chest pain at night (choice C) is more indicative of other conditions like acid reflux or heart issues. Difficulty falling asleep (choice D) is not a classic symptom of obstructive sleep apnea.
Question 4 of 5
The nurse is providing discharge teaching for a client with tuberculosis. Which statement indicates correct understanding?
Correct Answer: C
Rationale: The correct answer is C: "I need to schedule regular follow-up sputum tests." This is correct because regular sputum tests are necessary to monitor the effectiveness of TB treatment and to ensure the disease is not spreading. Choice A is incorrect as masks are not generally needed at home. Choice B is wrong because stopping medication early can lead to drug resistance. Choice D is inaccurate as spicy foods do not affect TB treatment. Regular sputum tests are essential for monitoring progress and adjusting treatment if needed.
Question 5 of 5
A client with COPD is receiving oxygen at 4 L/min via nasal cannula. The client reports headache and drowsiness. What is the nurse's priority action?
Correct Answer: B
Rationale: The correct answer is B: Assess the client's oxygen saturation level. Headache and drowsiness can indicate oxygen toxicity due to excessive oxygen administration in COPD patients. Assessing the oxygen saturation level will help determine if the client is experiencing oxygen toxicity. If the oxygen saturation is high, decreasing the oxygen flow rate (choice A) may be necessary. Encouraging deep breaths (choice C) is not the priority in this situation. Notifying the healthcare provider (choice D) can be done after assessing the oxygen saturation level.