ATI RN
Oxygen NCLEX Questions Questions
Question 1 of 5
A nurse is teaching a client about the use of oxygen at home. Which of the following safety instructions should the nurse include?
Correct Answer: A
Rationale: Correct Answer: A: Store oxygen tanks upright and secured Rationale: Storing oxygen tanks upright prevents leaks and ensures proper oxygen flow. Securing tanks prevents them from falling over, reducing the risk of damage or injury. This instruction prioritizes safety and proper functioning of the oxygen equipment. Summary of Incorrect Choices: B: Keeping oxygen tanks in a closed cabinet may restrict ventilation, leading to potential hazards like oxygen buildup and fire risk. C: Using extension cords with oxygen concentrators can increase the risk of tripping hazards and potential damage to the equipment. D: Ensuring the tank is less than half full before refilling is not a safety instruction but rather a guideline for refilling procedures.
Question 2 of 5
A client with bronchitis is prescribed guaifenesin. What should the nurse include in the teaching plan?
Correct Answer: A
Rationale: The correct answer is A: Take the medication with a full glass of water. Guaifenesin is an expectorant that works by thinning and loosening mucus in the airways, making it easier to cough up. Taking it with a full glass of water helps hydrate the patient, which aids in thinning the mucus. This promotes easier expectoration and helps relieve symptoms. Summary: B: Avoid driving while taking this medication - This is not directly related to taking guaifenesin and would be more applicable to medications that cause drowsiness. C: Take the medication on an empty stomach - Guaifenesin can be taken with or without food, so this is not necessary. D: Limit fluid intake to prevent overhydration - Hydration is important when taking guaifenesin to help with expectoration, so limiting fluid intake would not be recommended.
Question 3 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 4 of 5
The nurse is assessing a client with acute respiratory distress. Which finding requires immediate intervention?
Correct Answer: B
Rationale: The correct answer is B because an oxygen saturation of 85% indicates severe hypoxemia, which can lead to tissue damage and organ failure. Immediate intervention is needed to improve oxygenation. Choice A (respiratory rate of 28) is slightly elevated but not as critical as severe hypoxemia. Choice C (use of accessory muscles) indicates respiratory distress but not as urgent as low oxygen saturation. Choice D (pulse rate of 110) may be elevated due to the body compensating for hypoxemia but addressing oxygenation is the priority.
Question 5 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.