NU 611
Clinical Decision
Making Review Exam
Q&A
2024
, 1. A nurse is caring for a patient with chronic obstructive pulmonary
disease (COPD) who has been admitted with an acute exacerbation. The
nurse notices that the patient's oxygen saturation is 88% on room air.
What is the most appropriate action for the nurse to take?
a) Administer oxygen via nasal cannula at 2 L/min
b) Administer oxygen via non-rebreather mask at 15 L/min
c) Administer oxygen via venturi mask at 24% FiO2
d) *Administer oxygen via nasal cannula at 1 L/min*
Rationale: The correct answer is d. Patients with COPD have a chronic
hypoxic drive to breathe and may experience respiratory depression if
given too much oxygen. The goal is to maintain their oxygen saturation
between 88% and 92%. A nasal cannula at 1 L/min can provide about
24% FiO2, which is appropriate for this patient. Options a and b would
deliver too much oxygen and could cause carbon dioxide retention and
respiratory acidosis. Option c would deliver a fixed concentration of
oxygen, but a venturi mask is more suitable for patients who require
precise oxygen delivery, such as those with acute respiratory distress
syndrome (ARDS).
2. A nurse is conducting a health history interview with a patient who has
a history of hypertension, diabetes mellitus, and coronary artery disease.
The nurse asks the patient about their medication adherence and learns
that the patient often forgets to take their medications or skips doses when
they feel well. What is the best way for the nurse to address this issue with
the patient?
a) *Use motivational interviewing techniques to explore the patient's
reasons for non-adherence and help them identify strategies to improve
their medication-taking behavior*
b) Educate the patient about the importance of taking their medications as
prescribed and the potential complications of uncontrolled hypertension,
diabetes, and coronary artery disease
c) Refer the patient to a social worker or a case manager who can assist
them with obtaining their medications and remind them of their
appointments
d) Prescribe a pill organizer or a medication reminder app for the patient
to use to keep track of their medications and doses
Rationale: The correct answer is a. Motivational interviewing is a client-
Clinical Decision
Making Review Exam
Q&A
2024
, 1. A nurse is caring for a patient with chronic obstructive pulmonary
disease (COPD) who has been admitted with an acute exacerbation. The
nurse notices that the patient's oxygen saturation is 88% on room air.
What is the most appropriate action for the nurse to take?
a) Administer oxygen via nasal cannula at 2 L/min
b) Administer oxygen via non-rebreather mask at 15 L/min
c) Administer oxygen via venturi mask at 24% FiO2
d) *Administer oxygen via nasal cannula at 1 L/min*
Rationale: The correct answer is d. Patients with COPD have a chronic
hypoxic drive to breathe and may experience respiratory depression if
given too much oxygen. The goal is to maintain their oxygen saturation
between 88% and 92%. A nasal cannula at 1 L/min can provide about
24% FiO2, which is appropriate for this patient. Options a and b would
deliver too much oxygen and could cause carbon dioxide retention and
respiratory acidosis. Option c would deliver a fixed concentration of
oxygen, but a venturi mask is more suitable for patients who require
precise oxygen delivery, such as those with acute respiratory distress
syndrome (ARDS).
2. A nurse is conducting a health history interview with a patient who has
a history of hypertension, diabetes mellitus, and coronary artery disease.
The nurse asks the patient about their medication adherence and learns
that the patient often forgets to take their medications or skips doses when
they feel well. What is the best way for the nurse to address this issue with
the patient?
a) *Use motivational interviewing techniques to explore the patient's
reasons for non-adherence and help them identify strategies to improve
their medication-taking behavior*
b) Educate the patient about the importance of taking their medications as
prescribed and the potential complications of uncontrolled hypertension,
diabetes, and coronary artery disease
c) Refer the patient to a social worker or a case manager who can assist
them with obtaining their medications and remind them of their
appointments
d) Prescribe a pill organizer or a medication reminder app for the patient
to use to keep track of their medications and doses
Rationale: The correct answer is a. Motivational interviewing is a client-
