ATI RN
NCLEX Questions Oxygen Therapy Questions
Question 1 of 5
A client with bronchiectasis is being treated with postural drainage. What is the primary goal of this therapy?
Correct Answer: B
Rationale: The correct answer is B: To remove mucus from the airways. Postural drainage helps mobilize and clear mucus from the bronchiectatic airways, improving ventilation and reducing the risk of infection. This is crucial in bronchiectasis to prevent mucus buildup, which can lead to further lung damage and infections. Incorrect choices: A: To improve oxygen saturation - While postural drainage can indirectly improve oxygenation by clearing mucus, the primary goal is mucus clearance. C: To reduce inflammation in the lungs - Postural drainage primarily focuses on mucus clearance rather than reducing inflammation. D: To prevent respiratory infections - While mucus clearance can help prevent infections, the primary goal of postural drainage is to remove mucus.
Question 2 of 5
The nurse is providing education to a client with obstructive sleep apnea. Which lifestyle change is most likely to improve symptoms?
Correct Answer: C
Rationale: The correct answer is C: Losing weight if overweight. Obesity is a major risk factor for obstructive sleep apnea as excess fat around the neck can obstruct the airway during sleep. Losing weight can help reduce the severity of symptoms by decreasing the amount of tissue that may be blocking the airway. Sleeping in a supine position (A) can actually worsen symptoms by further collapsing the airway. Avoiding CPAP therapy (B) is not recommended as it is a common treatment for sleep apnea. Reducing daily fluid intake (D) may help with nighttime trips to the bathroom but does not directly address the underlying cause of obstructive sleep apnea.
Question 3 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 4 of 5
A nurse is assisting a respiratory therapist with chest physiotherapy for patients with ineffective cough. For which patient might this therapy be recommended?
Correct Answer: C
Rationale: The correct answer is C, a teenager with cystic fibrosis. Chest physiotherapy helps clear mucus from the lungs, which is essential for patients with cystic fibrosis due to thick secretions. Postoperative adults may benefit, but not specifically for ineffective cough. Adults with COPD may require other treatments. Children with pneumonia may not need chest physiotherapy unless secretion clearance is an issue.
Question 5 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.