NUR105 M3.3: ATI Engage Fundamentals: Gas Exchange and Oxygenation
Question: A nurse is collecting data from a client who is receiving oxygen therapy. The nurse should identify that which of the following findings can indicate oxygen toxicity?NUR105 M3.3: ATI Engage Fundamentals
Answer: Ringing in the ears
Explanation: Oxygen toxicity is a potential complication of high-dose oxygen therapy and can lead to symptoms like ringing in the ears.
Question: A nurse is caring for a client who is receiving supplemental oxygen for hypoxia. The nurse should identify that which of the following can cause hypoxia?NUR105 M3.3: ATI Engage Fundamentals
Answer: Smoke inhalation
Explanation: Smoke inhalation can lead to a decreased oxygen supply, causing hypoxia.
Question: A nurse is caring for a client who has atelectasis. The nurse should identify that which of the following substances is required to keep the client’s alveoli from collapsing and causing atelectasis?
Answer: Surfactant
Explanation: Surfactant is a substance that prevents the collapse of alveoli by reducing surface tension.
Question: A nurse is reinforcing teaching with a newly licensed nurse about pulmonary function tests. The nurse should include that which of the following is the vital capacity?
Answer: The maximum volume of air that is expired after a maximum inspiration.
Explanation: Vital capacity is the maximum amount of air that can be exhaled after taking a deep breath. It is an important measure of lung function.
Question: A nurse is reinforcing teaching with a client who has a new prescription for a continuous positive airway pressure (CPAP) machine to treat obstructive sleep apnea. Which of the following statements should the nurse include?
Answer: “Cover your nose with the CPAP mask.”
Explanation: Proper use of the CPAP machine involves covering both the nose and mouth with the mask for effective treatment.
Question: A nurse is explaining the sequence of electrical conduction in the heart to a newly licensed nurse. What should the nurse include as the correct sequence of the transmission of electrical impulses?
Answer: The correct sequence of the transmission of electrical impulses in the heart is as follows:
A node is the first step.
AV node is the second step.
Bundle of His is the third step.
Right and left bundle branches is the fourth step.
Purkinje fibers is the fifth step.
Explanation: This sequence describes how electrical impulses are generated and conducted through the heart, coordinating its contractions.
Question: A nurse is suctioning a client’s tracheostomy using an open system. Which of the following actions should the nurse take?
Answer: Administer 100% oxygen before the procedure.
Explanation: Administering oxygen before suctioning helps maintain oxygenation during the procedure.
Question: A nurse is assisting with planning to measure the cardiac output of a client who had a myocardial infarction. Which of the following data should the nurse use to calculate the client’s cardiac output?
Answer: Stroke volume
Explanation: Cardiac output is calculated by multiplying stroke volume by heart rate. Stroke volume is the amount of blood ejected with each heartbeat.
Question: A nurse is reinforcing teaching with a client who has a new prescription for home oxygen. Which of the following instructions should the nurse include? (Select all that apply.)
Answers: The nurse should instruct the client to:
Post a “No Smoking” sign inside the home.
Attach oxygen containers to a fixed object.
Notify the fire department that oxygen is used in the home.
Explanation: These instructions help ensure the safe and effective use of oxygen at home.
Question: A nurse is collecting data from a client who is being discharged. The nurse notes the client has regular and quiet breathing. The nurse should identify this breathing pattern as which of the following?NUR105 M3.3: ATI Engage Fundamentals
Answer: Normal breathing NUR105 M3.3: ATI Engage Fundamentals
Explanation: Regular and quiet breathing is characteristic of normal, healthy breathing.
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