ATI RN
NCLEX Questions Oxygen Therapy Questions
Question 1 of 5
A nurse is caring for a patient with a history of hypertension. The patient is experiencing dizziness and lightheadedness. What is the priority action?
Correct Answer: A
Rationale: The correct answer is A: Administer antihypertensive medication. The priority action is to address the underlying cause of symptoms, which is likely elevated blood pressure causing dizziness and lightheadedness. Administering antihypertensive medication will help lower the blood pressure and alleviate the symptoms. Monitoring blood pressure (option C) is important but addressing the immediate symptoms is the priority. Administering IV fluids (option B) may not be necessary unless there are signs of dehydration. Administering insulin therapy (option D) is not indicated for dizziness and lightheadedness in a patient with hypertension.
Question 2 of 5
A nurse is caring for a patient with a history of asthma. The patient is complaining of wheezing. What is the priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Administer albuterol (Ventolin). The priority intervention is to administer albuterol, a fast-acting bronchodilator that helps relieve bronchoconstriction and wheezing in asthma. Albuterol works quickly to open the airways and improve breathing, which is crucial in managing acute asthma symptoms. Oral medications (choice B) may take longer to take effect and are not the first-line treatment for acute wheezing. Nebulized bronchodilators (choice C) are effective but albuterol is preferred for its faster onset of action. Corticosteroids (choice D) are used for long-term asthma management and are not the immediate priority in treating acute wheezing.
Question 3 of 5
A nurse is caring for a patient with a history of chronic kidney disease (CKD). The patient is experiencing fluid retention. What is the priority action?
Correct Answer: B
Rationale: The correct answer is B: Administer insulin. In a patient with CKD experiencing fluid retention, insulin is the priority action. Insulin helps to regulate blood glucose levels, which can impact fluid balance in the body. High blood glucose levels can lead to osmotic diuresis, causing fluid retention. Administering insulin helps to lower blood glucose levels, which in turn can help reduce fluid retention. Choice A: Administer diuretics - While diuretics can help with fluid retention, in a patient with CKD, using diuretics without addressing the underlying cause (high blood glucose levels) can worsen kidney function. Choice C and D: Administer IV fluids - Administering more fluids would exacerbate the fluid retention issue in a patient with CKD. It is important to address the underlying cause of fluid retention first.
Question 4 of 5
A patient admitted to the emergency department complaining of sudden onset shortness of breath is diagnosed with a possible pulmonary embolus. How should the nurse prepare the patient for diagnostic testing to confirm the diagnosis?
Correct Answer: B
Rationale: A CT pulmonary angiography, common for pulmonary embolus, requires IV contrast, so starting an IV is appropriate.
Question 5 of 5
A nurse is caring for a patient who has had a total laryngectomy and radical neck dissection. During the first 24 hours after surgery what is the priority nursing action?
Correct Answer: A
Rationale: Bleeding is a critical postoperative risk; monitoring the incision is the priority in the first 24 hours.