ATI RN
Oxygenation NCLEX Questions Questions
Question 1 of 5
A nurse is caring for a patient who is receiving IV fluids and has a heart rate of 110 beats/min and a blood pressure of 90/50 mm Hg. What is the priority action?
Correct Answer: D
Rationale: The correct answer is D: Monitor the patient's oxygen saturation levels. The priority action is to assess the patient's oxygen saturation as the vital signs indicate potential hypoperfusion. This could be due to inadequate tissue oxygenation, which is critical to address to prevent further deterioration. Administering a vasopressor (A) may further decrease blood pressure. Administering a loop diuretic (B) is not appropriate as the patient is hypotensive. Administering short-acting insulin (C) is not indicated in this scenario. Monitoring oxygen saturation levels will provide crucial information on the patient's respiratory status and guide appropriate interventions.
Question 2 of 5
A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD). What is the priority nursing action?
Correct Answer: A
Rationale: The correct answer is A: Increase oxygen flow. In COPD, the priority is to maintain adequate oxygenation. Increasing oxygen flow helps improve oxygen saturation and relieve respiratory distress. Monitoring vital signs (B) is important but not the priority in this case. Administering insulin therapy (C and D) is irrelevant as it does not address the immediate respiratory needs of a patient with COPD.
Question 3 of 5
A nurse is caring for a patient with a history of myocardial infarction (MI) who is complaining of shortness of breath. What is the priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Administer oxygen. In a patient with a history of MI complaining of shortness of breath, the priority is to ensure adequate oxygenation to prevent further cardiac complications. Administering oxygen will help improve oxygen saturation and reduce cardiac workload. Choice B (Administer a short-acting bronchodilator) is incorrect as bronchodilators are not the priority in this case. Choice C (Administer oxygen therapy) is essentially the same as the correct answer, but using the term "oxygen" alone is more specific and appropriate. Choice D (Administer antibiotics) is not indicated for shortness of breath in this context.
Question 4 of 5
A patient with acute shortness of breath is admitted to the hospital. Which action should the nurse take during the initial assessment of the patient?
Correct Answer: B
Rationale: For a patient with acute shortness of breath, the priority is to quickly gather relevant information about the current episode to guide immediate care, rather than delaying for a full assessment or tests.
Question 5 of 5
The nurse plans to teach a patient how to manage allergic rhinitis. Which information should the nurse include in the teaching plan?
Correct Answer: B
Rationale: Avoiding triggers is the most effective strategy for managing allergic rhinitis.