ATI RN
NCLEX Questions on Oxygen Therapy Questions
Question 1 of 5
A client with COPD is prescribed a corticosteroid inhaler. What should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Rinse your mouth after each use to prevent thrush. Corticosteroid inhalers can increase the risk of oral thrush due to their effect on the immune system. Rinsing the mouth after each use helps to prevent this side effect. A: Using the inhaler only during flare-ups is incorrect as corticosteroid inhalers are often prescribed for daily maintenance to control COPD symptoms. C: Using the inhaler before taking a bronchodilator is not necessary as the order of inhaler use does not impact their effectiveness. D: Taking the medication with meals to prevent stomach upset is incorrect as corticosteroid inhalers are inhaled and do not typically cause stomach upset.
Question 2 of 5
The nurse observes a student nurse caring for a patient with active tuberculosis (TB). Which action, if performed by the student nurse, would require an intervention by the nurse?
Correct Answer: B
Rationale: The correct answer is B because wearing a surgical face mask before visiting a patient with active TB is incorrect. The proper personal protective equipment for TB includes an N95 respirator to prevent transmission. Option A is correct as providing a tissue does not pose a risk. Option C is fine as long as the snack is not consumed in the patient's room. Option D is also correct as hand washing is a standard precaution. Therefore, wearing a surgical face mask is the only incorrect action that requires intervention.
Question 3 of 5
The nurse is teaching a patient with COPD about the use of a metered-dose inhaler. Which action by the patient indicates a need for further instruction?
Correct Answer: C
Rationale: The correct answer is C because exhaling quickly after inhaling the medication can lead to the medication being exhaled before it reaches the lungs. Holding the breath for 5 seconds after inhalation (A) allows the medication to be absorbed. Activating the inhaler during inhalation (B) ensures the medication is properly delivered. Waiting 1 minute between puffs (D) allows for optimal medication absorption.
Question 4 of 5
Which nursing action is most appropriate when caring for a patient with a suspected pulmonary embolism?
Correct Answer: B
Rationale: The correct answer is B: Initiate oxygen therapy. This is the most appropriate nursing action for a patient with a suspected pulmonary embolism because it helps improve oxygenation and alleviate respiratory distress, which are critical in the management of this condition. Oxygen therapy can help support the patient's respiratory function and prevent hypoxia. Positioning the patient flat in bed (choice A) may worsen respiratory distress due to decreased lung expansion. Chest physiotherapy (choice C) is not recommended as it may dislodge the embolism and worsen the condition. Encouraging ambulation (choice D) can be dangerous as it may lead to dislodgment of the clot and subsequent complications.
Question 5 of 5
The nurse assesses a patient with suspected pulmonary embolism. Which assessment finding requires the most immediate action?
Correct Answer: C
Rationale: The correct answer is C, Oxygen saturation of 87%. This finding indicates severe hypoxemia, which can be life-threatening in pulmonary embolism. Immediate action is needed to improve oxygenation and prevent further complications. A: Heart rate of 110 bpm and B: Respiratory rate of 30 bpm are concerning but not as immediately life-threatening as severe hypoxemia. D: Crackles heard in bilateral lung bases suggest pulmonary congestion but may not require immediate action compared to severe hypoxemia.