ATI RN
NCLEX Questions on Oxygen Therapy Questions
Question 1 of 5
A nurse is caring for a patient with a history of myocardial infarction (MI). What is the priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Administer aspirin. Aspirin is the priority intervention for a patient with a history of MI as it helps prevent further clot formation and reduces the risk of another cardiac event. Administering IV fluids (choices B and C) may be necessary depending on the patient's condition, but aspirin takes precedence to address the immediate cardiac issue. Administering morphine (choice D) is not the priority as it may mask symptoms and delay definitive treatment. Overall, the main goal in a patient with a history of MI is to prevent further clot formation and reduce the risk of complications, making aspirin the most appropriate intervention.
Question 2 of 5
The nurse completes discharge instructions for a patient with a total laryngectomy. Which statement by the patient indicates that additional instruction is needed?
Correct Answer: A
Rationale: An occlusive dressing could block the stoma, impairing breathing; a breathable cover is needed instead.
Question 3 of 5
An older patient is receiving standard multidrug therapy for tuberculosis (TB). The nurse should notify the health care provider if the patient exhibits which finding?
Correct Answer: A
Rationale: Yellow-tinged sclera indicates jaundice, a potential sign of hepatotoxicity from TB drugs like isoniazid or rifampin, requiring immediate attention.
Question 4 of 5
The nurse supervises unlicensed assistive personnel (UAP) who are providing care for a patient with right lower lobe pneumonia. The nurse should intervene if which action by UAP is observed?
Correct Answer: D
Rationale: Lowering the bed to 15 degrees increases aspiration risk and hinders lung expansion, inappropriate for pneumonia care.
Question 5 of 5
A young adult patient who denies any history of smoking is seen in the clinic with a new diagnosis of chronic obstructive pulmonary disease (COPD). The nurse should plan to teach the patient about
Correct Answer: A
Rationale: Non-smokers with COPD may have α⁴‚-antitrypsin deficiency, a genetic condition, making testing appropriate.