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 is the priority intervention?
Correct Answer: B
Rationale: The correct answer is B: Administer insulin. During hypoglycemia, the priority is to raise blood sugar levels quickly to prevent further complications. Insulin administration would further lower blood sugar levels. Administering oral glucose (choice C) is the priority intervention as it rapidly increases blood sugar levels. Administering a beta-blocker (choice D) is not appropriate for hypoglycemia and can worsen the condition.
Question 2 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 3 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 4 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.
Question 5 of 5
Which action by the nurse will be most effective in decreasing the spread of pertussis in a community setting?
Correct Answer: C
Rationale: Adult pertussis boosters (Tdap) prevent transmission, addressing the root cause of community spread.