ATI RN
NCLEX Style Questions on Oxygenation Questions
Question 1 of 5
A nurse is caring for a patient with a history of asthma. What is the priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Administer a bronchodilator. This is the priority intervention because bronchodilators help to quickly open up the airways in asthma patients, providing immediate relief from symptoms like shortness of breath and wheezing. Administering a bronchodilator first is crucial in managing an acute asthma attack. Corticosteroids (choices B and C) are used for long-term management and take longer to have an effect. Antibiotics (choice D) are not indicated for asthma unless there is a secondary bacterial infection present. Therefore, the priority is to administer a bronchodilator for rapid relief of asthma symptoms.
Question 2 of 5
A nurse is caring for a patient who is experiencing nausea and vomiting. What is the priority nursing action?
Correct Answer: D
Rationale: The correct answer is D: Administer insulin. The priority nursing action is to manage the patient's blood glucose levels when experiencing nausea and vomiting, as it may lead to diabetic ketoacidosis. Administering insulin helps stabilize blood sugar. Administering antiemetics (A and B) may provide symptomatic relief but does not address the underlying issue. Administering pain medications (C) is not the priority in this scenario.
Question 3 of 5
The nurse admits a patient who has a diagnosis of an acute asthma attack. Which statement indicates that the patient may need teaching regarding medication use?
Correct Answer: D
Rationale: Increased albuterol use suggests poor asthma control, indicating a need for education on proper management and prevention.
Question 4 of 5
After a laryngectomy, a patient coughs violently during suctioning and dislodges the tracheostomy tube. Which action should the nurse take first?
Correct Answer: C
Rationale: Reinserting the tube restores the airway, which is the immediate priority after dislodgement.
Question 5 of 5
Employee health test results reveal a tuberculosis (TB) skin test of 16-mm induration and a negative chest x-ray for a staff nurse working on the pulmonary unit. The nurse has no symptoms of TB. Which information should the occupational health nurse plan to teach the staff nurse?
Correct Answer: A
Rationale: A positive skin test with a negative x-ray and no symptoms indicates latent TB, treated with isoniazid to prevent active disease.