ATI RN
Oxygen Therapy NCLEX Questions Questions
Question 1 of 5
A client with tuberculosis (TB) is prescribed rifampin. Which side effect should the nurse include in client education?
Correct Answer: A
Rationale: The correct answer is A: Orange discoloration of urine and tears. Rifampin is known to cause harmless orange discoloration of bodily fluids, including urine and tears. This is important for the client to be aware of to prevent unnecessary concern. B: Increased risk of photosensitivity is not a common side effect of rifampin. C: Frequent urination is not a typical side effect of rifampin. D: Sudden weight gain is not a known side effect of rifampin. In conclusion, the correct answer is A because it aligns with a known side effect of rifampin, while the other options are not associated with this medication.
Question 2 of 5
Which intervention will the nurse include in the plan of care for a patient diagnosed with a lung abscess?
Correct Answer: B
Rationale: The correct answer is B: Assist the patient with chest physiotherapy and postural drainage. This intervention helps mobilize secretions in the lungs, aiding in the drainage of the abscess. Chest physiotherapy can improve ventilation and oxygenation. A: Avoiding over-the-counter expectorants is not directly related to managing a lung abscess. They may not be effective for this condition. C: Notifying the healthcare provider about bloody or foul-smelling sputum is important, but it is not a direct intervention for managing a lung abscess. D: Teaching about the need for prolonged antibiotic therapy is important, but the immediate intervention for a lung abscess is to assist with chest physiotherapy and postural drainage to improve outcomes.
Question 3 of 5
A patient is admitted with acute respiratory distress syndrome (ARDS). Which assessment finding is most concerning?
Correct Answer: A
Rationale: The correct answer is A: SpO2 of 86% despite high-flow oxygen. This finding is most concerning as it indicates severe hypoxemia despite maximal oxygen therapy, which is a critical sign of ARDS. Hypoxemia is the main feature of ARDS and can rapidly lead to organ failure. Choice B (Respiratory rate of 24 breaths per minute) is within normal range and may not be as concerning in isolation. Choice C (Fine crackles in bilateral lung bases) is common in ARDS but may not necessarily indicate severity. Choice D (Heart rate of 102 beats per minute) is elevated but not as immediately life-threatening as severe hypoxemia.
Question 4 of 5
The nurse teaches a patient about smoking cessation to reduce the risk of lung cancer. Which statement by the patient indicates effective learning?
Correct Answer: B
Rationale: Rationale: Choice B is correct because stopping smoking reduces the risk of lung cancer, even if the patient has smoked for years. Nicotine and other harmful chemicals in cigarettes damage the lungs, but quitting smoking allows the body to repair itself and lowers the risk of developing lung cancer. Choices A, C, and D are incorrect because cutting back on cigarettes still exposes the patient to harmful chemicals, chest x-rays are not recommended as a screening tool for lung cancer in the general population, and vitamins do not prevent lung cancer if the patient continues smoking.
Question 5 of 5
The nurse prepares to administer antibiotics to a patient with bacterial pneumonia. What should the nurse do first?
Correct Answer: B
Rationale: The correct answer is B because obtaining blood cultures before administering antibiotics helps identify the specific bacteria causing the pneumonia, guiding appropriate antibiotic selection. This step is crucial for targeted treatment and preventing antibiotic resistance. Administering acetaminophen (A) can be done after blood cultures. Performing a respiratory assessment (C) is important but not the first step. Giving antibiotics (D) without blood cultures risks inappropriate treatment.