ATI RN
Chapter 41 Oxygenation NCLEX Questions Questions
Question 1 of 5
A nurse is caring for a patient with pneumonia. Which assessment finding would indicate that the treatment is effective?
Correct Answer: A
Rationale: Step 1: Monitoring vital signs for changes is crucial to assess the patient's overall condition and response to treatment. Step 2: Vital signs include temperature, pulse rate, respiratory rate, and blood pressure. Step 3: Improvement in vital signs such as decreased temperature, heart rate, and respiratory rate would indicate treatment effectiveness. Step 4: Respiratory status and oxygen saturation levels are important but may not provide a comprehensive assessment of treatment efficacy. Step 5: Administering antibiotics is part of the treatment plan but does not directly indicate treatment effectiveness. Summary: Monitoring vital signs for changes is the most direct and reliable way to assess the effectiveness of treatment for pneumonia, making it the correct choice. The other options may provide valuable information but are not as direct indicators of treatment efficacy.
Question 2 of 5
A nurse is caring for a patient with a history of asthma. The patient is experiencing an asthma attack. What is the priority nursing intervention?
Correct Answer: A
Rationale: The correct answer is A: Administer an inhaler. During an asthma attack, the priority is to open the airways to improve breathing. Administering an inhaler with a bronchodilator medication helps to relax the muscles around the airways, making it easier for the patient to breathe. This intervention addresses the immediate respiratory distress the patient is experiencing. Monitoring oxygen saturation (C) is important but not the priority as administering the inhaler takes precedence in managing the acute respiratory distress. Administering IV epinephrine (B) is not typically recommended as a first-line treatment for asthma attacks. Administering antiemetics (D) is not relevant to managing an asthma attack.
Question 3 of 5
A nurse is caring for a patient who is experiencing a myocardial infarction (MI). What is the priority nursing intervention?
Correct Answer: B
Rationale: The correct answer is B: Administer aspirin. Aspirin helps to reduce clot formation and minimize damage during a myocardial infarction (MI). This intervention is a priority because it can potentially save the patient's life by preventing further complications. Administering oxygen therapy (choice A) is important, but aspirin takes precedence due to its immediate impact on the outcome. Administering analgesics (choice C) can be considered after aspirin administration to address pain. Monitoring vital signs (choice D) is essential, but providing aspirin should be the initial priority to address the underlying cause of the MI.
Question 4 of 5
A nurse is caring for a patient with a history of diabetes who is experiencing dizziness and weakness. What is the priority action?
Correct Answer: B
Rationale: The correct answer is B: Administer glucagon. Glucagon is the hormone that raises blood glucose levels quickly in cases of hypoglycemia, which can cause dizziness and weakness in diabetic patients. Administering oral glucose (choice A) may take longer to raise blood sugar levels. Administering insulin (choices C and D) would lower blood glucose levels further, worsening the patient's symptoms. The priority is to quickly raise blood sugar levels to prevent further complications.
Question 5 of 5
A nurse is caring for a patient with a history of asthma who is experiencing an asthma attack. What is the priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Administer a bronchodilator. During an asthma attack, the priority intervention is to open the airways quickly to improve breathing. Bronchodilators help to relax and widen the air passages, providing immediate relief. Corticosteroids may be used later to reduce inflammation. Reassurance is important but not the priority during an acute attack. Insulin therapy is not relevant to managing an asthma attack.