ATI RN
NCLEX Questions for Oxygenation Questions
Question 1 of 5
A nurse is caring for a patient with a history of hypertension who is complaining of dizziness and headache. What is the priority action?
Correct Answer: D
Rationale: The correct answer is D: Administer oral antihypertensives. The priority action for a patient with hypertension experiencing dizziness and headache is to address the underlying cause of the symptoms, which is likely elevated blood pressure. Administering oral antihypertensives will help lower the patient's blood pressure and alleviate the symptoms. Explanation: 1. Assess the patient's vital signs to confirm hypertension. 2. Administering oral antihypertensives is a quick and effective way to lower blood pressure. 3. Monitoring the patient's response to the medication is crucial. 4. Administering oxygen therapy (Choice C) is not the priority as the symptoms are likely due to hypertension, not hypoxia. 5. Administering antihypertensive medication (Choice A) or a beta-blocker (Choice B) via other routes may not be as quick or effective as oral medications.
Question 2 of 5
A nurse is caring for a patient with a history of stroke who is exhibiting facial drooping. What is the priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Administer pain relief. In a patient exhibiting facial drooping, the priority intervention is to assess for stroke symptoms, specifically to rule out a current stroke. Administering pain relief can help determine if the drooping is due to a stroke or another cause. Administering nitroglycerin (B) is not appropriate for facial drooping. Monitoring oxygen saturation levels (C) is important but not the priority in this situation. Administering analgesics (D) is similar to pain relief but does not address the urgency of assessing for stroke symptoms.
Question 3 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 4 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 5 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.