ATI LPN
Oxygenation NCLEX Questions Questions
Question 1 of 5
A nurse observes a patient using accessory muscles to breathe. What does this indicate?
Correct Answer: B
Rationale: Accessory muscle use (e.g., neck, shoulders) suggests respiratory distress, as the patient struggles to breathe, not normal breathing, improved oxygenation, or mere fatigue.
Question 2 of 5
A nurse is assessing a patient with suspected carbon monoxide poisoning. What is the priority finding?
Correct Answer: A
Rationale: Carbon monoxide poisoning causes cherry-red lips due to carboxyhemoglobin formation, impairing oxygen delivery. This is a specific, priority sign over fever, tachycardia, or hypotension.
Question 3 of 5
A patient with a respiratory infection is at risk for which complication?
Correct Answer: A
Rationale: Respiratory infections can cause mucus plugging and airway obstruction, leading to atelectasis (lung collapse), more than hypertension, bradycardia, or hyperglycemia.
Question 4 of 5
A patient with a respiratory rate of 30 breaths per minute is experiencing what?
Correct Answer: B
Rationale: A rate of 30 breaths per minute is hyperventilation (normal is 12-20), increasing oxygen intake, unlike hypoventilation, normal breathing, or apnea.
Question 5 of 5
A nurse is reinforcing discharge teaching with a client following an episode of status asthmaticus. The client has a prescription for two inhalations from an albuterol metered-dose inhaler. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Holding the breath for at least 10 seconds after inhaling the medication allows the medication to settle in the lungs and increases its effectiveness. This ensures maximum delivery of the drug to the respiratory tract.