ATI RN
Nursing Questions on Oxygenation Questions
Question 1 of 5
Which symptom indicates respiratory distress requiring rapid intervention?
Correct Answer: C
Rationale: Use of accessory muscle indicates that the patient is experiencing respiratory distress, and rapid intervention is needed. The other data indicate the need for ongoing monitoring and assessment but do not suggest that immediate treatment is required.
Question 2 of 5
A nurse auscultates a harsh hollow sound over a client's trachea and larynx. What action would the nurse take first?
Correct Answer: A
Rationale: Bronchial breath sounds (harsh, hollow) are normal over the trachea and larynx, so documenting the findings is appropriate.
Question 3 of 5
How does ipratropium work to assist a client with chronic obstructive pulmonary disease (COPD)?
Correct Answer: B
Rationale: Ipratropium is a cholinergic antagonist that causes bronchodilation by blocking parasympathetic-mediated bronchoconstriction.
Question 4 of 5
What information does the nurse provide to a woman who wants to decrease her risk for gestational hypertension?
Correct Answer: B
Rationale: Losing weight before pregnancy reduces hypertension risk, a modifiable factor.
Question 5 of 5
The nurse is providing care to a client admitted to the emergency department with the diagnosis of acute respiratory distress syndrome (ARDS). Which clinical manifestation does the nurse expect to assess?
Correct Answer: A
Rationale: Dyspnea (A) is a clinical manifestation of clients experiencing hypoxia secondary to ARDS. Fluid and electrolyte imbalances occur due to nutritional imbalances, and tachycardia, not bradycardia, is expected with hypoxia.