ATI RN
Oxygenation NCLEX Questions Quizlet Questions
Question 1 of 5
A nurse is caring for a patient who has just undergone surgery and is experiencing hypotension. What is the priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Administer IV fluids. Hypotension following surgery can indicate hypovolemia, so the priority is to increase fluid volume to improve perfusion to vital organs. Administering IV fluids will help increase blood pressure and improve circulation. Administering a vasopressor (B) should only be considered if fluid resuscitation is unsuccessful. Elevating the patient's legs (C) may help in some cases, but IV fluids are more critical. Monitoring vital signs (D) is important, but addressing the underlying cause of hypotension is the priority.
Question 2 of 5
A nurse is caring for a patient with a history of heart failure. The patient is complaining of shortness of breath. What is the priority action?
Correct Answer: A
Rationale: The correct answer is A: Administer oxygen. In a patient with heart failure experiencing shortness of breath, the priority action is to ensure adequate oxygenation. Oxygen therapy helps to improve oxygen saturation levels, alleviate symptoms, and prevent further complications. Administering IV fluids (choice B) may worsen heart failure by increasing fluid overload. Administering pain relief (choice C) is not the priority when the patient is experiencing respiratory distress. Administering antiplatelet therapy (choice D) is not the immediate priority in this situation.
Question 3 of 5
A nurse is caring for a patient who is receiving chemotherapy and is experiencing nausea. What is the priority nursing intervention?
Correct Answer: B
Rationale: The correct answer is B: Administer IV fluids. The priority nursing intervention for a patient experiencing nausea while receiving chemotherapy is to administer IV fluids. Chemotherapy can cause dehydration due to vomiting and lack of oral intake, which can lead to electrolyte imbalances and compromised renal function. Administering IV fluids helps maintain hydration, support renal function, and prevent complications. Administering antiemetics (choice A) can help alleviate nausea but does not address the underlying issue of dehydration. Nebulized bronchodilators (choice C) are not indicated for nausea related to chemotherapy. Monitoring vital signs (choice D) is important but not the priority intervention in this case where hydration is the main concern.
Question 4 of 5
Using the illustrated technique, the nurse is assessing for which finding in a patient with chronic obstructive pulmonary disease (COPD)?
Correct Answer: C
Rationale: The question implies a physical assessment technique (e.g., diaphragm excursion), where reduced excursion is common in COPD due to air trapping.
Question 5 of 5
When assessing a patient with a sore throat, the nurse notes anterior cervical lymph node swelling, a temperature of 101.6°F (38.7°C), and yellow patches on the tonsils. Which action will the nurse anticipate taking?
Correct Answer: A
Rationale: Yellow patches and fever suggest bacterial infection (e.g., strep); a throat culture is anticipated to confirm diagnosis.