Questions & Answers | RN ATI Comprehensive Exit Predictor
Exam with NGN 180 Questions and Answers/ Verified Answers.
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A nurse is caring for a patient admitted with pneumonia who has a history of chronic obstructive
pulmonary disease. The patient’s oxygen saturation drops to 88% on room air. Which
intervention should the nurse implement immediately? Options include: increasing fluid intake,
administering supplemental oxygen, calling the provider, or performing incentive spirometry.
The correct answer is administering supplemental oxygen. Hypoxemia is an immediate threat to
organ function; providing oxygen stabilizes the patient while further assessments and treatments
occur. Increasing fluids helps maintain hydration but does not directly address hypoxia. Calling
the provider is important but the nurse’s immediate priority is to maintain oxygenation. Incentive
spirometry assists with lung expansion but is insufficient alone to correct acute hypoxemia.
Rationales highlight the principle of prioritization in nursing: addressing life-threatening
conditions first. Rapid assessment, timely intervention, and continuous monitoring of vital signs
ensure patient safety. Recognizing early signs of respiratory compromise and implementing
oxygen therapy promptly reduces the risk of complications, illustrating the critical thinking and
rapid decision-making essential in acute care nursing.
During medication administration, a nurse notices that a patient prescribed digoxin exhibits
nausea, visual disturbances, and bradycardia. The nurse suspects digoxin toxicity. What is the
most appropriate immediate action? Options include: holding the next dose and notifying the
provider, administering an antiemetic, checking the patient’s potassium level, or encouraging the
patient to drink more fluids. The correct answer is holding the next dose and notifying the
provider. Digoxin toxicity can be life-threatening; withholding further doses prevents
exacerbation and ensures timely medical assessment. Administering an antiemetic addresses
symptoms but not the underlying cause. Checking potassium is relevant since hypokalemia
increases toxicity risk, but immediate provider notification is essential for proper intervention.