ATI RN
Oxygen NCLEX Questions Questions
Question 1 of 5
A nurse is monitoring a client receiving a blood transfusion. Which symptom would indicate a potential transfusion-related acute lung injury (TRALI)?
Correct Answer: B
Rationale: The correct answer is B because sudden onset of dyspnea and hypoxemia are key symptoms of transfusion-related acute lung injury (TRALI). This is a serious complication caused by an inflammatory response to transfused blood products. Dyspnea and hypoxemia signify acute respiratory distress. Fever and chills (A) are more indicative of a transfusion reaction or infection. Generalized itching and rash (C) are symptoms of an allergic reaction. Low blood pressure and bradycardia (D) are more likely signs of a hemolytic reaction or sepsis.
Question 2 of 5
The nurse is evaluating a client with emphysema who is on oxygen therapy. Which finding indicates a need for adjustment?
Correct Answer: C
Rationale: The correct answer is C: Drowsiness and confusion. This indicates a need for adjustment in oxygen therapy as it could be a sign of oxygen toxicity. Oxygen saturation of 96% (A) is within the normal range. Respiratory rate of 20 breaths per minute (B) is also normal. Increased dyspnea during exertion (D) is expected in a client with emphysema. Drowsiness and confusion are concerning symptoms that require immediate attention to prevent potential harm.
Question 3 of 5
A client with obstructive sleep apnea is using continuous positive airway pressure (CPAP) therapy. What is the primary benefit of CPAP?
Correct Answer: B
Rationale: The primary benefit of CPAP therapy is maintaining an open airway during sleep. CPAP delivers a continuous stream of air pressure to keep the airway open, preventing apnea episodes. This ensures proper oxygen flow, reduces snoring, and improves sleep quality. Option A is incorrect because CPAP primarily targets airway obstruction, not respiratory infections. Option C is incorrect as CPAP does not directly affect mucus accumulation. Option D is incorrect as CPAP primarily benefits sleep quality rather than oxygen levels during physical activity.
Question 4 of 5
The nurse is preparing a client for discharge after a thoracentesis. Which instruction is most important?
Correct Answer: A
Rationale: The correct answer is A: Avoid lifting heavy objects for 48 hours. After a thoracentesis, the client should avoid lifting heavy objects to prevent strain on the puncture site, reducing the risk of bleeding or injury. Lifting heavy objects can increase the risk of complications. Choices B, C, and D are not as crucial as A for immediate post-procedure care. Increasing fluid intake is important for hydration but not the most important instruction. Reporting signs of infection and performing deep breathing exercises are important but do not directly relate to the risk of injury post-thoracentesis.
Question 5 of 5
The nurse is assessing a client with tuberculosis (TB). Which symptom is most commonly associated with this condition?
Correct Answer: A
Rationale: The correct answer is A: Night sweats and weight loss. These symptoms are most commonly associated with tuberculosis (TB) due to the chronic infection causing systemic effects leading to night sweats and weight loss. Option B, nosebleeds, is not typically a symptom of TB. Option C, sudden chest pain, is more commonly associated with other conditions like pneumonia or heart-related issues. Option D, bright red blood in sputum, is more indicative of conditions such as pulmonary embolism or lung cancer rather than TB.