ATI RN
Oxygen NCLEX Questions Questions
Question 1 of 5
A nurse is caring for a patient who has a history of hypertension and is experiencing chest pain. What is the priority action?
Correct Answer: A
Rationale: The correct answer is A: Administer nitroglycerin. The priority action in this scenario is to address the chest pain, which could be indicative of a myocardial infarction or heart attack. Nitroglycerin helps to dilate blood vessels, improve blood flow to the heart, and relieve chest pain. Administering nitroglycerin promptly can help alleviate the patient's symptoms and potentially prevent further cardiac damage. Choice B (Administer aspirin) is also a common intervention for chest pain, but nitroglycerin is the priority as it directly addresses the underlying cause of chest pain in this case. Choice C (Monitor vital signs) and choice D (Administer IV fluids) are important interventions but are not the priority when a patient with a history of hypertension presents with chest pain, as addressing the potential cardiac issue should be the primary focus.
Question 2 of 5
A diabetic patient's arterial blood gas (ABG) results are pH 7.28; PaCO₂ 34 mm Hg; PaO₂ 85 mm Hg; HCO⁴‚…⁴» 18 mEq/L. The nurse would expect which finding?
Correct Answer: B
Rationale: The ABG results indicate metabolic acidosis (low pH, low HCO₃⁻); Kussmaul respirations are a compensatory mechanism seen in diabetic ketoacidosis.
Question 3 of 5
The nurse has just auscultated coarse crackles bilaterally on a patient with a tracheostomy tube in place. If the patient is unsuccessful in coughing up secretions, what action should the nurse take?
Correct Answer: C
Rationale: Coarse crackles indicate secretions; sterile suctioning is required to clear the airway effectively.
Question 4 of 5
The nurse provides discharge instructions to a patient who was hospitalized for pneumonia. Which statement, if made by the patient, indicates a good understanding of the instructions?
Correct Answer: B
Rationale: Continuing deep breathing and coughing exercises at home promotes lung expansion and clearance, indicating proper understanding of post-pneumonia care.
Question 5 of 5
A patient with a pleural effusion is scheduled for a thoracentesis. Which action should the nurse take to prepare the patient for the procedure?
Correct Answer: B
Rationale: Sitting upright facilitates access to the pleural space and reduces risk during thoracentesis.