ATI RN
NCLEX Questions Oxygen Therapy Questions
Question 1 of 5
A nurse is caring for a patient who has had a total laryngectomy and radical neck dissection. During the first 24 hours after surgery what is the priority nursing action?
Correct Answer: A
Rationale: Bleeding is a critical postoperative risk; monitoring the incision is the priority in the first 24 hours.
Question 2 of 5
The nurse receives change-of-shift report on the following four patients. Which patient should the nurse assess first?
Correct Answer: B
Rationale: Sudden shortness of breath in a bedridden patient suggests a possible pulmonary embolism, a life-threatening emergency requiring immediate assessment.
Question 3 of 5
The home health nurse is visiting a patient with chronic obstructive pulmonary disease (COPD). Which nursing action is appropriate to implement for a nursing diagnosis of impaired breathing pattern related to anxiety?
Correct Answer: B
Rationale: Pursed-lip breathing helps manage anxiety-related dyspnea by prolonging exhalation and reducing air trapping.
Question 4 of 5
A patient with cystic fibrosis (CF) has blood glucose levels that are consistently between 180 to 250 mg/dL. Which nursing action will the nurse plan to implement?
Correct Answer: C
Rationale: Elevated glucose in CF often indicates CFRD (CF-related diabetes), typically requiring insulin.
Question 5 of 5
What should the nurse do first when a patient's SpO2 drops to 85% during exercise?
Correct Answer: B
Rationale: The drop in SpO2 to 85% indicates that the patient is hypoxemic and needs supplemental O2 when exercising. The other actions are also important, but the first action should be to correct the hypoxemia.