ATI RN
NCLEX Questions for Oxygenation Questions
Question 1 of 5
A nurse is caring for a patient with a history of asthma. The patient 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 quickly open the airways to improve breathing. Bronchodilators work rapidly to relax and widen the airways, providing immediate relief. This intervention takes precedence over administering corticosteroids, monitoring vital signs, or administering antibiotics, which are not the primary interventions for managing an acute asthma attack. Corticosteroids are used to reduce inflammation over time, while monitoring vital signs is important but not the immediate priority. Administering antibiotics is not indicated unless there is a clear indication of a bacterial infection.
Question 2 of 5
The nurse prepares a patient with a left-sided pleural effusion for a thoracentesis. How should the nurse position the patient?
Correct Answer: D
Rationale: Sitting upright with arms supported facilitates access to the pleural space and promotes comfort and lung expansion during thoracentesis.
Question 3 of 5
The nurse discusses management of upper respiratory infections (URIs) with a patient who has acute sinusitis. Which statement by the patient indicates that additional teaching is needed?
Correct Answer: B
Rationale: Prolonged use of decongestant sprays can worsen congestion (rebound effect), indicating a need for more teaching.
Question 4 of 5
A patient with bacterial pneumonia has coarse crackles and thick sputum. Which action should the nurse plan to promote airway clearance?
Correct Answer: C
Rationale: Splinting the chest reduces pain during coughing, encouraging effective airway clearance by allowing the patient to expel thick sputum.
Question 5 of 5
A patient with idiopathic pulmonary arterial hypertension (IPAH) is receiving nifedipine (Procardia). Which assessment would best indicate to the nurse that the patient's condition is improving?
Correct Answer: C
Rationale: Decreased dyspnea reflects improved pulmonary artery pressure and oxygenation, the primary goal of IPAH treatment.