ATI LPN
Oxygenation NCLEX Questions Questions
Question 1 of 5
A nurse is caring for a client who has dementia, which of the following interventions should the nurse take to minimize the risk for injury to the client?
Correct Answer: A
Rationale: Use a bed exit alarm system.
Question 2 of 5
A nurse is initiating a 24-hour urine collection for a client at home. What will be the first thing the nurse will ask the client to do at the beginning of the specimen collection?
Correct Answer: A
Rationale: Discarding the first void starts a fresh 24-hour period. Adding it (B) skews results. Warmth (C) and timing (D) are secondary.
Question 3 of 5
A patient has experienced a myocardial infarction. On which primary blood vessel will the nurse focus care to reduce ischemia?
Correct Answer: C
Rationale: Myocardial infarction results from reduced coronary artery blood flow, causing ischemia. The nurse focuses on the coronary artery to restore oxygenation to the heart muscle, not the vena cava, pulmonary artery, or carotid artery.
Question 4 of 5
A nurse assesses a patient with a respiratory rate of 8 breaths per minute. What is the priority action?
Correct Answer: C
Rationale: A respiratory rate of 8 is abnormally low (hypoventilation). Checking pulse oximetry first assesses oxygenation status, guiding further actions like oxygen administration or physician notification.
Question 5 of 5
A nurse observes a patient using accessory muscles to breathe. What does this indicate?
Correct Answer: B
Rationale: Accessory muscle use (e.g., neck, shoulders) suggests respiratory distress, as the patient struggles to breathe, not normal breathing, improved oxygenation, or mere fatigue.