ATI RN
NCLEX Questions on Oxygen Therapy Questions
Question 1 of 5
A nurse is caring for a patient who is experiencing shortness of breath and is on a ventilator. What is the priority intervention?
Correct Answer: C
Rationale: The correct answer is C: Perform chest physiotherapy. Shortness of breath in a ventilated patient may be due to secretion accumulation in the airways. Performing chest physiotherapy helps to mobilize and clear secretions, improving ventilation. Checking ventilator settings (A) is important but not the priority when the patient is experiencing distress. Administering IV fluids (B and D) is not directly related to the respiratory distress and should not take precedence over addressing the immediate breathing issue.
Question 2 of 5
The nurse observes a student who is listening to a patient's lungs. Which action by the student indicates a need to review respiratory assessment skills?
Correct Answer: B
Rationale: Listening only during inspiration and moving the stethoscope misses expiratory sounds, indicating a need for review.
Question 3 of 5
The nurse completes discharge instructions for a patient with a total laryngectomy. Which statement by the patient indicates that additional instruction is needed?
Correct Answer: A
Rationale: An occlusive dressing could block the stoma, impairing breathing; a breathable cover is needed instead.
Question 4 of 5
An older patient is receiving standard multidrug therapy for tuberculosis (TB). The nurse should notify the health care provider if the patient exhibits which finding?
Correct Answer: A
Rationale: Yellow-tinged sclera indicates jaundice, a potential sign of hepatotoxicity from TB drugs like isoniazid or rifampin, requiring immediate attention.
Question 5 of 5
The nurse supervises unlicensed assistive personnel (UAP) who are providing care for a patient with right lower lobe pneumonia. The nurse should intervene if which action by UAP is observed?
Correct Answer: D
Rationale: Lowering the bed to 15 degrees increases aspiration risk and hinders lung expansion, inappropriate for pneumonia care.