ATI RN
NCLEX Style Questions on Oxygenation Questions
Question 1 of 5
A nurse is caring for a patient who is experiencing nausea and vomiting. What is the priority nursing action?
Correct Answer: D
Rationale: The correct answer is D: Administer insulin. The priority nursing action is to manage the patient's blood glucose levels when experiencing nausea and vomiting, as it may lead to diabetic ketoacidosis. Administering insulin helps stabilize blood sugar. Administering antiemetics (A and B) may provide symptomatic relief but does not address the underlying issue. Administering pain medications (C) is not the priority in this scenario.
Question 2 of 5
After a laryngectomy, a patient coughs violently during suctioning and dislodges the tracheostomy tube. Which action should the nurse take first?
Correct Answer: C
Rationale: Reinserting the tube restores the airway, which is the immediate priority after dislodgement.
Question 3 of 5
Employee health test results reveal a tuberculosis (TB) skin test of 16-mm induration and a negative chest x-ray for a staff nurse working on the pulmonary unit. The nurse has no symptoms of TB. Which information should the occupational health nurse plan to teach the staff nurse?
Correct Answer: A
Rationale: A positive skin test with a negative x-ray and no symptoms indicates latent TB, treated with isoniazid to prevent active disease.
Question 4 of 5
The nurse is performing tuberculosis (TB) skin tests in a clinic that has many patients who have immigrated to the United States. Which question is most important for the nurse to ask before the skin test?
Correct Answer: D
Rationale: Prior BCG vaccination can cause false-positive TB skin tests, critical to interpret results accurately.
Question 5 of 5
A patient with chronic obstructive pulmonary disease (COPD) has a nursing diagnosis of imbalanced nutrition: less than body requirements. Which intervention would be most appropriate for the nurse to include in the plan of care?
Correct Answer: C
Rationale: High-calorie, high-protein snacks address malnutrition common in COPD due to increased energy expenditure.