ATI RN
Fundamentals of Nursing Oxygenation Practice Questions Questions
Question 1 of 5
Which patient statement indicates effective understanding of COPD management?
Correct Answer: C
Rationale: The correct answer is C because eating smaller, more frequent meals can help reduce the feeling of breathlessness in COPD patients by avoiding large meals that may put pressure on the diaphragm. This approach can also help maintain energy levels and prevent overeating, which can lead to bloating and increased pressure on the lungs. A is incorrect because limiting physical activity can worsen COPD symptoms by leading to muscle weakness and reduced exercise tolerance. B is incorrect because using a rescue inhaler before every meal is not a standard COPD management practice and may lead to overuse of the medication. D is incorrect because adjusting oxygen flow rate without medical guidance can be dangerous and may result in oxygen levels being too high or too low, which can be harmful to the patient.
Question 2 of 5
A patient who has a history of chronic obstructive pulmonary disease (COPD) was hospitalized for increasing shortness of breath and chronic hypoxemia (SaO2 levels of 89% to 90%). In planning for discharge, which action by the nurse will be most effective in improving compliance with discharge teaching?
Correct Answer: C
Rationale: The correct answer is C: Arrange for the patient's caregiver to be present during the teaching. Involving the caregiver in the teaching process increases the likelihood of proper understanding and adherence to the discharge instructions. The caregiver can provide additional support and reinforcement for the patient's education, especially in managing COPD symptoms at home. This collaborative approach promotes a more supportive environment for the patient post-discharge. Choice A (Having the patient repeat instructions immediately after teaching) may not be as effective because the patient's understanding and retention of the information may still be limited. Choice B (Patient teaching just before discharge) may not allow enough time for the patient and caregiver to fully grasp and retain the information. Choice D is a duplicate of choice B and does not offer any additional benefit.
Question 3 of 5
A patient who is receiving oxygen therapy is becoming increasingly agitated. What should the nurse do first?
Correct Answer: B
Rationale: The correct answer is B: Assess for signs of hypoxia. When a patient on oxygen therapy becomes agitated, it may indicate hypoxia. Assessing for signs of hypoxia is the priority to ensure the patient's safety and well-being. Other choices are incorrect as notifying the health care provider, reassuring the patient, or assessing blood pressure should come after assessing for hypoxia to address the immediate concern.
Question 4 of 5
A patient who had a total knee replacement is complaining of severe pain in the surgical site. What is the priority intervention?
Correct Answer: D
Rationale: The correct answer is D: Administer IV fluids. Severe pain post total knee replacement may indicate hypovolemia due to blood loss during surgery. Administering IV fluids will help restore circulating volume and improve perfusion to the surgical site. Analgesics can address pain but addressing the underlying cause is more important. Early ambulation and dressing change can be important but are not the priority in this scenario.
Question 5 of 5
A nurse is caring for a patient with a history of stroke. The patient is exhibiting slurred speech and facial drooping. What is the priority intervention?
Correct Answer: C
Rationale: The correct answer is C: Administer IV fluids. In a patient with stroke symptoms like slurred speech and facial drooping, maintaining adequate hydration is crucial to prevent complications. IV fluids help ensure proper blood flow to the brain, which is essential in stroke management. Administering a corticosteroid (choice A) is not the priority in this acute situation. Pain medications (choice B) may not address the underlying issue of stroke and should not be the primary intervention. IV pain management (choice D) is not necessary unless pain is a significant symptom, which is not the case in this scenario. Administering IV fluids is the most appropriate intervention to support the patient's overall condition and neurological function.