ATI RN
Oxygenation NCLEX Questions with Rationale Questions
Question 1 of 5
A nurse is caring for a patient who is recovering from surgery and is complaining of pain. What is the priority action?
Correct Answer: A
Rationale: The correct answer is A: Administer pain relief. The priority action is to address the patient's immediate need, which is pain control to ensure comfort and promote recovery. Administering pain relief is crucial for patient well-being post-surgery. Choice B is incorrect as a bronchodilator is not indicated for pain management. Choice C is also incorrect as monitoring blood glucose levels is not the priority for a patient complaining of pain post-surgery. Choice D is a duplicate answer and does not provide any additional information.
Question 2 of 5
Which action is appropriate for the nurse to delegate to unlicensed assistive personnel (UAP)?
Correct Answer: D
Rationale: Measuring induration is a simple task within UAP scope, unlike assessing lung sounds or teaching.
Question 3 of 5
Teach the patient about the use of expectorants.
Correct Answer: C
Rationale: Expectorants help loosen mucus in the airways, which is relevant for pneumonia patients with ineffective airway clearance. Rinsing the mouth after inhalers prevents oral thrush, a common issue with inhaled corticosteroids.
Question 4 of 5
A patient who has a right-sided chest tube after a thoracotomy has continuous bubbling in the suction-control chamber of the collection device. Which action by the nurse is appropriate?
Correct Answer: B
Rationale: Continuous bubbling in the suction-control chamber is normal with active suction; monitoring is appropriate unless other issues arise.
Question 5 of 5
The nurse provides discharge teaching for a patient who has two fractured ribs from an automobile accident. Which statement, if made by the patient, would indicate that teaching has been effective?
Correct Answer: D
Rationale: Frequent incentive spirometry prevents atelectasis and pneumonia, key to recovery from rib fractures.