ATI RN
Oxygenation Nursing Practice Questions Questions
Question 1 of 5
Which patient needs immediate assessment?
Correct Answer: B
Rationale: A respiratory rate of 38/min indicates severe respiratory distress, and the patient needs immediate assessment and intervention to prevent possible respiratory arrest. The other patients also need assessment as soon as possible, but they do not need to be assessed as urgently as the patient with tachypnea.
Question 2 of 5
The nurse is teaching a client who has pernicious anemia about necessary dietary changes. Which statement by the client indicates understanding about those changes?
Correct Answer: A
Rationale: Pernicious anemia requires increased vitamin B12, found in animal proteins like fish and meat.
Question 3 of 5
A nurse assesses a client after administering a prescribed beta blocker. Which assessment would the nurse expect to find?
Correct Answer: D
Rationale: Beta blockers reduce heart rate; a drop from 100 to 80 beats/min is an expected effect.
Question 4 of 5
A nurse is assessing a woman receiving magnesium sulfate. The nurse assesses her deep tendon reflexes at 0 and 1+. What action by the nurse is best?
Correct Answer: A
Rationale: Diminished reflexes (0 to 1+) suggest magnesium toxicity, requiring the nurse to hold the drug.
Question 5 of 5
Which finding supports the nursing diagnosis of Decreased Cardiac Output for a client with acute respiratory distress syndrome (ARDS)?
Correct Answer: B
Rationale: Reduced cardiac output results in reduced kidney perfusion, decreasing urine output to below 30 mL/hr (B). Improving BP (A), oxygen saturation (C), and pulse (D) suggest stabilization, not decreased output.