ATI RN
Oxygenation NCLEX Questions with Rationale Questions
Question 1 of 5
A nurse is caring for a patient with asthma who is experiencing shortness of breath. What is the priority nursing intervention?
Correct Answer: A
Rationale: The correct answer is A: Administer bronchodilators. Bronchodilators help to open the airways quickly, providing immediate relief for the patient's shortness of breath in an acute asthma attack. This intervention addresses the patient's current distress and helps improve oxygenation. Administering corticosteroids (choice B) is important for long-term management but not the priority in an acute situation. Monitoring vital signs (choice C) is essential but not the immediate priority when the patient is in respiratory distress. Administering insulin (choice D) is not indicated for asthma and would not address the patient's shortness of breath.
Question 2 of 5
Teach the patient about the use of expectorants.
Correct Answer: C
Rationale: Expectorants help loosen mucus in the airways, which is relevant for pneumonia patients with ineffective airway clearance. Rinsing the mouth after inhalers prevents oral thrush, a common issue with inhaled corticosteroids.
Question 3 of 5
A patient who has a right-sided chest tube after a thoracotomy has continuous bubbling in the suction-control chamber of the collection device. Which action by the nurse is appropriate?
Correct Answer: B
Rationale: Continuous bubbling in the suction-control chamber is normal with active suction; monitoring is appropriate unless other issues arise.
Question 4 of 5
The nurse provides discharge teaching for a patient who has two fractured ribs from an automobile accident. Which statement, if made by the patient, would indicate that teaching has been effective?
Correct Answer: D
Rationale: Frequent incentive spirometry prevents atelectasis and pneumonia, key to recovery from rib fractures.
Question 5 of 5
The nurse develops a teaching plan to help increase activity tolerance at home for an older adult with severe chronic obstructive pulmonary disease (COPD). Which instructions would be appropriate for the nurse to include in the plan of care?
Correct Answer: D
Rationale: Gradual walking builds tolerance safely; stopping at dyspnea or exceeding a high pulse can exacerbate symptoms.