ATI RN
Oxygenation NCLEX Questions Quizlet Questions
Question 1 of 5
A nurse is caring for a patient with a history of hypertension who is experiencing chest pain. What is the priority nursing intervention?
Correct Answer: B
Rationale: The correct answer is B: Administer morphine. Chest pain in a patient with a history of hypertension may indicate a myocardial infarction. Morphine is essential to alleviate pain and reduce myocardial oxygen demand. Nitroglycerin may lower blood pressure, which can be dangerous in a hypertensive patient. Aspirin is important for antiplatelet effects but not the immediate priority. Administering an antihypertensive is not necessary as the priority is managing chest pain.
Question 2 of 5
A nurse is caring for a patient who is receiving chemotherapy and is experiencing nausea. What is the priority nursing intervention?
Correct Answer: B
Rationale: The correct answer is B: Administer IV fluids. The priority nursing intervention for a patient experiencing nausea while receiving chemotherapy is to administer IV fluids. Chemotherapy can cause dehydration due to vomiting and lack of oral intake, which can lead to electrolyte imbalances and compromised renal function. Administering IV fluids helps maintain hydration, support renal function, and prevent complications. Administering antiemetics (choice A) can help alleviate nausea but does not address the underlying issue of dehydration. Nebulized bronchodilators (choice C) are not indicated for nausea related to chemotherapy. Monitoring vital signs (choice D) is important but not the priority intervention in this case where hydration is the main concern.
Question 3 of 5
Using the illustrated technique, the nurse is assessing for which finding in a patient with chronic obstructive pulmonary disease (COPD)?
Correct Answer: C
Rationale: The question implies a physical assessment technique (e.g., diaphragm excursion), where reduced excursion is common in COPD due to air trapping.
Question 4 of 5
When assessing a patient with a sore throat, the nurse notes anterior cervical lymph node swelling, a temperature of 101.6°F (38.7°C), and yellow patches on the tonsils. Which action will the nurse anticipate taking?
Correct Answer: A
Rationale: Yellow patches and fever suggest bacterial infection (e.g., strep); a throat culture is anticipated to confirm diagnosis.
Question 5 of 5
When assessing a patient who has just arrived after an automobile accident, the emergency department nurse notes tachycardia and absent breath sounds over the right lung. For which intervention will the nurse prepare the patient?
Correct Answer: D
Rationale: Absent breath sounds and tachycardia suggest a pneumothorax; a chest tube is needed to re-expand the lung.