ATI RN
NCLEX Questions Oxygen Therapy Questions
Question 1 of 5
A client is being evaluated for pulmonary fibrosis. Which symptom is most commonly associated with this condition?
Correct Answer: C
Rationale: Pulmonary fibrosis is characterized by scarring of lung tissue, leading to decreased lung function. Progressive shortness of breath is the most common symptom due to the reduced lung capacity. Unexplained weight loss (A) is not a typical symptom of pulmonary fibrosis. Frequent nosebleeds (B) are not directly associated with the condition. Night sweats and chills (D) are more indicative of infections or other systemic conditions, not specifically pulmonary fibrosis.
Question 2 of 5
The nurse obtains the following assessment data on an older patient who has influenza. Which information will be most important for the nurse to communicate to the health care provider?
Correct Answer: B
Rationale: The correct answer is B: Diffuse crackles in the lungs. This is the most important information to communicate as it indicates possible complications like pneumonia, which requires immediate medical attention. Fever (A), sore throat and cough (C), myalgia and headache (D) are common symptoms of influenza and can be managed symptomatically. However, lung crackles signify a potential serious respiratory issue that needs prompt intervention to prevent further deterioration.
Question 3 of 5
The nurse prepares a patient with acute shortness of breath for arterial blood gas (ABG) collection. Which action is most appropriate?
Correct Answer: C
Rationale: The correct answer is C. Performing the Allen test before puncturing the radial artery ensures adequate collateral circulation in case the radial artery becomes occluded during the ABG collection. This step helps prevent ischemia and other complications. Administering oxygen before obtaining the sample (A) is not recommended as it can alter the ABG results. Positioning the patient supine (B) is not necessary for ABG collection. Keeping the patient NPO for 6 hours (D) is not required for an ABG test.
Question 4 of 5
The nurse is preparing a patient with COPD for spirometry testing. Which instruction should the nurse include?
Correct Answer: A
Rationale: The correct answer is A because bronchodilators can affect spirometry results. Here's the rationale: 1. Bronchodilators can cause bronchodilation, affecting the test results. 2. Avoiding bronchodilators for 6-12 hours helps ensure accurate baseline lung function. 3. Eating/drinking restrictions (choice B) are not necessary for spirometry. 4. Using a rescue inhaler close to the test (choice C) can alter results. 5. Incentive spirometry (choice D) is not directly related to preparing for spirometry testing.
Question 5 of 5
A patient reports sudden shortness of breath and chest pain. Which condition should the nurse suspect first?
Correct Answer: B
Rationale: The correct answer is B: Pulmonary embolism. This is the most critical condition among the choices that presents with sudden shortness of breath and chest pain. Pulmonary embolism occurs when a blood clot travels to the lungs, causing blockage in the pulmonary arteries, leading to severe respiratory distress and chest pain. The other choices (Acute bronchitis, Pneumonia, and Asthma exacerbation) may also present with similar symptoms, but they typically do not manifest as suddenly and severely as a pulmonary embolism. It is crucial for the nurse to suspect and prioritize investigating a pulmonary embolism in this scenario due to its life-threatening nature and the need for immediate medical intervention.