ATI RN
Oxygen Therapy NCLEX Questions Questions
Question 1 of 5
A nurse is caring for a patient with a history of diabetes who is experiencing hypoglycemia. What should the nurse do first?
Correct Answer: A
Rationale: The correct answer is A: Administer glucose. The first step in managing hypoglycemia is to increase the patient's blood sugar level. Administering glucose helps to rapidly raise the blood sugar levels, which is crucial in treating hypoglycemia in a patient with diabetes. Administering insulin therapy (choice B) or insulin (choice C) would further lower the blood sugar levels, worsening the hypoglycemic state. Administering oxygen (choice D) is not indicated for hypoglycemia and would not address the underlying issue of low blood sugar levels. Administering glucose is the priority to quickly correct the hypoglycemia and prevent potential complications.
Question 2 of 5
A nurse is caring for a patient with diabetes who is experiencing hypoglycemia. What is the priority action?
Correct Answer: D
Rationale: The correct answer is D: Administer a sedative. During hypoglycemia, the brain is deprived of glucose, leading to confusion and potential loss of consciousness. Administering a sedative can help calm the patient and prevent injury from agitation. Administering glucose (A) or insulin (B) would worsen the hypoglycemia. Administering an inhaler (C) is not relevant to treating hypoglycemia.
Question 3 of 5
The laboratory has just called with the arterial blood gas (ABG) results on four patients. Which result is most important for the nurse to report immediately to the health care provider?
Correct Answer: D
Rationale: pH 7.31 and PaCO₂ 50 mm Hg indicate respiratory acidosis, requiring immediate reporting for intervention.
Question 4 of 5
A patient arrives in the ear, nose, and throat clinic complaining of a piece of tissue being 'stuck up my nose' and with foul-smelling nasal drainage from the right nare. Which action should the nurse take first?
Correct Answer: A
Rationale: A foreign body requires prompt provider intervention; notifying them first ensures timely removal.
Question 5 of 5
The nurse monitors a patient in the emergency department after chest tube placement for a hemopneumothorax. The nurse is most concerned if which assessment finding is observed?
Correct Answer: A
Rationale: A large air leak suggests a persistent pneumothorax or tube malfunction, requiring urgent intervention.