ATI RN
NCLEX Questions on Oxygen Therapy Questions
Question 1 of 5
A nurse is caring for a patient with a history of stroke who is experiencing difficulty swallowing. What is the priority action?
Correct Answer: B
Rationale: The correct answer is B: Administer soft foods and fluids. This is the priority action because the patient is experiencing difficulty swallowing, which can lead to aspiration and further complications. Soft foods and fluids are easier for the patient to swallow safely. Administering thickened liquids (choice A) can still pose a risk of aspiration. Administering antihypertensive medications (choice C) is not the priority in this situation. Administering IV fluids (choice D) may not address the immediate issue of difficulty swallowing.
Question 2 of 5
A nurse is caring for a patient with a history of myocardial infarction (MI). What is the priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Administer aspirin. Aspirin is the priority intervention for a patient with a history of MI as it helps prevent further clot formation and reduces the risk of another cardiac event. Administering IV fluids (choices B and C) may be necessary depending on the patient's condition, but aspirin takes precedence to address the immediate cardiac issue. Administering morphine (choice D) is not the priority as it may mask symptoms and delay definitive treatment. Overall, the main goal in a patient with a history of MI is to prevent further clot formation and reduce the risk of complications, making aspirin the most appropriate intervention.
Question 3 of 5
The nurse observes a student who is listening to a patient's lungs. Which action by the student indicates a need to review respiratory assessment skills?
Correct Answer: B
Rationale: Listening only during inspiration and moving the stethoscope misses expiratory sounds, indicating a need for review.
Question 4 of 5
The nurse completes discharge instructions for a patient with a total laryngectomy. Which statement by the patient indicates that additional instruction is needed?
Correct Answer: A
Rationale: An occlusive dressing could block the stoma, impairing breathing; a breathable cover is needed instead.
Question 5 of 5
An older patient is receiving standard multidrug therapy for tuberculosis (TB). The nurse should notify the health care provider if the patient exhibits which finding?
Correct Answer: A
Rationale: Yellow-tinged sclera indicates jaundice, a potential sign of hepatotoxicity from TB drugs like isoniazid or rifampin, requiring immediate attention.