ATI RN
Chapter 41 Oxygenation NCLEX Questions Questions
Question 1 of 5
A nurse is caring for a patient with a history of asthma who is experiencing an asthma attack. What is the priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Administer a bronchodilator. During an asthma attack, the priority intervention is to open the airways quickly to improve breathing. Bronchodilators help to relax and widen the air passages, providing immediate relief. Corticosteroids may be used later to reduce inflammation. Reassurance is important but not the priority during an acute attack. Insulin therapy is not relevant to managing an asthma attack.
Question 2 of 5
On auscultation of a patient's lungs, the nurse hears low-pitched, bubbling sounds during inhalation in the lower third of both lungs. How should the nurse document this finding?
Correct Answer: A
Rationale: Low-pitched, bubbling sounds during inhalation are characteristic of inspiratory crackles, typically heard at the bases when fluid is present.
Question 3 of 5
A patient with a tracheostomy has a new order for a fenestrated tracheostomy tube. Which action should the nurse include in the plan of care in collaboration with the speech therapist?
Correct Answer: C
Rationale: Fenestrated tubes allow speech and swallowing; assessing swallow ability is critical to prevent aspiration.
Question 4 of 5
Which action should the nurse plan to prevent aspiration in a high-risk patient?
Correct Answer: B
Rationale: A side-lying position reduces aspiration risk in patients with altered consciousness by preventing gastric contents from entering the airway.
Question 5 of 5
The nurse completes discharge teaching for a patient who has had a lung transplant. Which patient statement indicates to the nurse that the teaching has been effective?
Correct Answer: D
Rationale: Prompt reporting of fever is critical post-transplant to detect infection or rejection early.