ATI RN
NCLEX Questions on Oxygenation and Perfusion Questions
Question 1 of 5
A nurse is caring for a patient who is recovering from surgery. What is the priority intervention to prevent deep vein thrombosis (DVT)?
Correct Answer: D
Rationale: The correct answer is A: Encourage early ambulation. This is the priority intervention to prevent DVT because it promotes blood circulation and prevents stasis in the veins. - Option B: Administer a platelet aggregation inhibitor is incorrect as it is not the first-line intervention for preventing DVT. - Option C: Administer anticoagulants may be used in some cases, but it is not the priority intervention. - Option D: Monitor the patient's oxygen saturation levels is not directly related to preventing DVT and is not the priority intervention.
Question 2 of 5
A nurse is caring for a patient with a history of heart failure. The patient is experiencing fatigue and weakness. What is the priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Administer oxygen. In heart failure, fatigue and weakness can be due to poor oxygenation. Administering oxygen helps improve oxygen levels, alleviating symptoms. Insulin (B) is not indicated for fatigue in heart failure. Antibiotics (C) are not necessary unless there is a confirmed infection. Beta-blockers (D) may be part of the treatment plan but addressing oxygenation is the priority in this scenario.
Question 3 of 5
A nurse is caring for a patient with a history of asthma. The patient is experiencing shortness of breath. What is the priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Administer a bronchodilator. The priority intervention for a patient with asthma experiencing shortness of breath is to administer a bronchodilator to help open up the airways and improve breathing. Bronchodilators work quickly to relieve acute symptoms of asthma by relaxing the muscles around the airways. This intervention is crucial in managing an acute asthma exacerbation. Summary: - Option B: Administer insulin therapy is incorrect because it is not indicated for managing asthma exacerbation. - Option C: Administer short-acting bronchodilators is partially correct but not as specific as option A, which specifies the immediate need for bronchodilator therapy. - Option D: Administer corticosteroids is important for long-term control of asthma but not the priority intervention in an acute exacerbation where immediate relief is needed.
Question 4 of 5
A patient who has a history of chronic obstructive pulmonary disease (COPD) was hospitalized for increasing shortness of breath and chronic hypoxemia (SaO₂ levels of 89% to 90%). In planning for discharge, which action by the nurse will be most effective in improving compliance with discharge teaching?
Correct Answer: C
Rationale: Including the caregiver ensures support and reinforcement of teaching, improving compliance in COPD patients.
Question 5 of 5
Which action should the nurse take first when a patient develops epistaxis?
Correct Answer: B
Rationale: Applying pressure is the first-line, non-invasive action to stop epistaxis.