ATI RN
Oxygenation NCLEX Questions Quizlet Questions
Question 1 of 5
A nurse is caring for a patient with a history of heart failure. The patient is complaining of shortness of breath. What is the priority action?
Correct Answer: A
Rationale: The correct answer is A: Administer oxygen. In a patient with heart failure experiencing shortness of breath, the priority action is to ensure adequate oxygenation. Oxygen therapy helps to improve oxygen saturation levels, alleviate symptoms, and prevent further complications. Administering IV fluids (choice B) may worsen heart failure by increasing fluid overload. Administering pain relief (choice C) is not the priority when the patient is experiencing respiratory distress. Administering antiplatelet therapy (choice D) is not the immediate priority in this situation.
Question 2 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 3 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 4 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.
Question 5 of 5
Which intervention will the nurse include in the plan of care for a patient who is diagnosed with a lung abscess?
Correct Answer: B
Rationale: Chest physiotherapy and postural drainage help drain the abscess, promoting resolution.