ATI RN
NCLEX Style Questions on Oxygenation Questions
Question 1 of 5
A nurse is caring for a patient who is experiencing chest pain and has a history of myocardial infarction (MI). What is the priority action?
Correct Answer: A
Rationale: The correct answer is A: Administer nitroglycerin. Nitroglycerin is the first-line medication for chest pain related to myocardial infarction as it helps dilate blood vessels, improving blood flow to the heart. Administering nitroglycerin promptly can help relieve chest pain and prevent further damage to the heart. Summary of other choices: B: Administer beta-blockers - Beta-blockers may be used later to stabilize the heart rate and blood pressure but are not the priority in the acute phase of MI. C: Administer oxygen and monitor - Administering oxygen is important, but nitroglycerin takes precedence in relieving chest pain and improving blood flow. D: Administer analgesics - While analgesics may help with pain relief, nitroglycerin is specifically indicated for chest pain related to MI and should be given first.
Question 2 of 5
The nurse admits a patient who has a diagnosis of an acute asthma attack. Which statement indicates that the patient may need teaching regarding medication use?
Correct Answer: D
Rationale: Increased albuterol use suggests poor asthma control, indicating a need for education on proper management and prevention.
Question 3 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 4 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 5 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.