ATI RN
NCLEX Questions for Oxygenation Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A patient with idiopathic pulmonary arterial hypertension (IPAH) is receiving nifedipine (Procardia). Which assessment would best indicate to the nurse that the patient's condition is improving?
Correct Answer: C
Rationale: Decreased dyspnea reflects improved pulmonary artery pressure and oxygenation, the primary goal of IPAH treatment.
Question 5 of 5
The nurse teaches a patient with chronic bronchitis about a new prescription for Advair Diskus (combined fluticasone and salmeterol). Which action by the patient would indicate to the nurse that teaching about medication administration has been successful?
Correct Answer: B
Rationale: Rapid inhalation ensures proper delivery of the dry powder from Advair Diskus, unlike MDIs requiring slow inhalation.