ATI RN
Oxygenation NCLEX Questions Quizlet Questions
Question 1 of 5
A client is receiving oxygen at 4 L per nasal cannula. What comfort measure may the nurse delegate to assistive personnel (AP)?
Correct Answer: A
Rationale: Oxygen can be drying; applying water-soluble ointment to nares and lips is a delegable comfort measure.
Question 2 of 5
The prenatal clinic nurse monitored women for preeclampsia. If all four women were in the clinic at the same time, which one should the nurse see first?
Correct Answer: C
Rationale: 3+ proteinuria is a hallmark of preeclampsia, indicating significant kidney involvement.
Question 3 of 5
The nurse is caring for a client admitted with septic shock. Which early clinical manifestation might indicate the development of ARDS?
Correct Answer: C
Rationale: Tachypnea (C) is an early sign of ARDS as the body attempts to compensate for hypoxia. Cyanosis (B) is a late sign, while retractions (A) and tachycardia (D) are less specific initially.
Question 4 of 5
The nurse is planning care for the client diagnosed with chronic obstructive pulmonary disease (COPD) who has a breathing rate of 32 per minute, elevated blood pressure, and fatigue. Which nursing diagnosis is the priority for this client?
Correct Answer: D
Rationale: An elevated breathing rate and fatigue indicate an Ineffective Breathing Pattern (D) as the priority, addressing the primary respiratory issue.
Question 5 of 5
The primary cells involved in infection by respiratory syncytial virus (RSV) are the
Correct Answer: C
Rationale: RSV primarily infects squamous epithelial cells of the bronchioles and alveoli (C), leading to inflammation and obstruction.