ATI RN
Oxygen NCLEX Questions Questions
Question 1 of 5
A patient admitted to the emergency department complaining of sudden onset shortness of breath is diagnosed with a possible pulmonary embolus. How should the nurse prepare the patient for diagnostic testing to confirm the diagnosis?
Correct Answer: B
Rationale: The correct answer is B because starting an IV line allows for contrast media administration, which is crucial for diagnostic testing like a CT pulmonary angiography to confirm pulmonary embolism. Contrast media helps visualize blood vessels and detect blockages. Choice A (NPO) is unnecessary for this test. Choice C (radioactive glucose) is not used for pulmonary embolus diagnosis. Choice D (sedatives) would not be appropriate as the patient needs to be alert during the test.
Question 2 of 5
A nurse is caring for a patient with a history of stroke. The patient is complaining of sudden weakness in the right arm and leg. What should the nurse do first?
Correct Answer: B
Rationale: The correct answer is B: Notify the healthcare provider. In this scenario, the patient is experiencing sudden weakness in the right arm and leg, which could indicate a recurrent stroke. Notifying the healthcare provider first is crucial to ensure timely intervention and appropriate management. Performing a neurological assessment (choice A) may be important but notifying the healthcare provider takes precedence in this urgent situation. Performing a head-to-toe assessment (choice C) is not the priority as the patient's symptoms are indicative of a potential stroke. Administering a platelet inhibitor (choice D) without proper assessment and healthcare provider's guidance can be dangerous.
Question 3 of 5
A nurse is caring for a patient with a history of hypertension. The patient is complaining of a headache. What should the nurse do first?
Correct Answer: B
Rationale: The correct answer is B: Monitor the patient's blood pressure. As the patient has a history of hypertension and is experiencing a headache, the nurse should first assess the current blood pressure to determine if the headache is related to hypertension. Monitoring the blood pressure provides immediate information on the patient's cardiovascular status. Checking the blood pressure (option A) may not provide ongoing assessment, administering a corticosteroid (option C) is not indicated for a headache without further evaluation, and administering intravenous fluids (option D) is not the priority without knowing the patient's current fluid status.
Question 4 of 5
A nurse is caring for a patient with a history of chronic obstructive pulmonary disease (COPD) who is receiving oxygen therapy. The patient's oxygen saturation is 87%. What is the priority action?
Correct Answer: C
Rationale: The correct answer is C: Administer oxygen therapy. In a patient with COPD and oxygen saturation of 87%, the priority action is to ensure adequate oxygenation. Administering oxygen therapy will help improve oxygen saturation levels and prevent hypoxemia. Increasing the flow rate of oxygen (choice A) may lead to oxygen toxicity. Administering a nebulized bronchodilator (choice B) can help with bronchodilation but does not address the immediate need for oxygenation. Administering corticosteroids (choice D) may be indicated for COPD exacerbations but is not the priority in this scenario.
Question 5 of 5
A nurse is caring for a patient with chronic heart failure who is experiencing shortness of breath. What is the priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Administer oxygen therapy. In a patient with chronic heart failure experiencing shortness of breath, the priority intervention is to ensure adequate oxygenation to prevent further complications. Administering oxygen therapy helps improve oxygen levels, reducing the workload on the heart. This can alleviate symptoms and prevent worsening of the condition. Administering a bronchodilator (B) may help with bronchospasm but does not address the primary issue of oxygenation. Administering pain relief (C) may be important but not the priority in this case. Administering IV fluids (D) could potentially worsen the patient's heart failure symptoms by increasing fluid volume.