ATI RN
Oxygenation NCLEX Questions Questions
Question 1 of 5
A nurse is caring for four clients with leukemia. After the hand-off report, which client would the nurse assess first?
Correct Answer: A
Rationale: Two bloody diarrhea stools suggest possible gastrointestinal hemorrhage, requiring immediate assessment to prevent hypovolemic shock.
Question 2 of 5
Which clinical sign is not included in the symptoms of preeclampsia?
Correct Answer: D
Rationale: Preeclampsia includes hypertension, edema, and proteinuria; glycosuria relates to diabetes.
Question 3 of 5
The nurse is providing care to a client with ARDS who has a tracheostomy. The nurse will monitor the client for complications related to the loss of which protective mechanism?
Correct Answer: A
Rationale: A tracheostomy bypasses the upper airway, impairing the ability to cough (A), which is a key protective mechanism against secretions and infections.
Question 4 of 5
The nurse is evaluating care provided to a client diagnosed with chronic obstructive pulmonary disease (COPD). Which observation would indicate that care provided to this client has been effective?
Correct Answer: A
Rationale: Maintaining 92% oxygen saturation on room air while active (A) indicates effective care, reflecting improved respiratory function.
Question 5 of 5
Which is the most appropriate outcome for the nurse to select for a 78-year-old resident of a long-term care facility with regard to preventing RSV?
Correct Answer: C
Rationale: Demonstrating hand washing knowledge (C) is the most appropriate outcome for preventing RSV transmission in a long-term care setting.