ATI RN
Oxygen Therapy NCLEX Questions Questions
Question 1 of 5
A 55-yr-old patient with increasing dyspnea is being evaluated for a possible diagnosis of chronic obstructive pulmonary disease (COPD). When teaching a patient about pulmonary spirometry for this condition, what is the most important question the nurse should ask?
Correct Answer: C
Rationale: The correct answer is C: Have you had frequent streptococcal throat infections? This is the most important question to ask because repeated streptococcal throat infections can lead to bronchiectasis, which is a risk factor for COPD. Bronchiectasis causes permanent dilation of the bronchi, leading to airflow obstruction. It is crucial to assess this history as it can provide valuable information on the patient's risk for developing COPD. A: Are you claustrophobic? - This question is not directly related to the assessment for COPD through pulmonary spirometry. B: Have you taken any bronchodilators today? - While important for assessing current medication use, it is not as crucial as determining the history of streptococcal throat infections. D: Do you use antihistamines for upper airway congestion? - Antihistamine use may not be directly linked to the risk factors for COPD development.
Question 2 of 5
A nurse is caring for a patient with a history of diabetes who is experiencing hypoglycemia. What is the priority intervention?
Correct Answer: B
Rationale: The correct answer is B: Administer insulin. During hypoglycemia, the priority is to raise blood sugar levels quickly to prevent further complications. Insulin administration would further lower blood sugar levels. Administering oral glucose (choice C) is the priority intervention as it rapidly increases blood sugar levels. Administering a beta-blocker (choice D) is not appropriate for hypoglycemia and can worsen the condition.
Question 3 of 5
A nurse is caring for a patient with diabetes who is experiencing hypoglycemia. What is the priority action?
Correct Answer: D
Rationale: The correct answer is D: Administer a sedative. During hypoglycemia, the brain is deprived of glucose, leading to confusion and potential loss of consciousness. Administering a sedative can help calm the patient and prevent injury from agitation. Administering glucose (A) or insulin (B) would worsen the hypoglycemia. Administering an inhaler (C) is not relevant to treating hypoglycemia.
Question 4 of 5
The laboratory has just called with the arterial blood gas (ABG) results on four patients. Which result is most important for the nurse to report immediately to the health care provider?
Correct Answer: D
Rationale: pH 7.31 and PaCO₂ 50 mm Hg indicate respiratory acidosis, requiring immediate reporting for intervention.
Question 5 of 5
A patient arrives in the ear, nose, and throat clinic complaining of a piece of tissue being 'stuck up my nose' and with foul-smelling nasal drainage from the right nare. Which action should the nurse take first?
Correct Answer: A
Rationale: A foreign body requires prompt provider intervention; notifying them first ensures timely removal.