ATI RN
Oxygen NCLEX Questions Questions
Question 1 of 5
A patient develops sudden hemoptysis and dyspnea. What should the nurse do first?
Correct Answer: B
Rationale: The correct answer is B: Place the patient in an upright position. This step is crucial to optimize ventilation and oxygenation by reducing pressure on the lungs and promoting better airflow. Placing the patient upright helps to improve breathing and decrease the risk of aspiration. Calling the rapid response team (A) can be important but should come after ensuring the patient's immediate safety. Applying oxygen via nasal cannula (C) is essential, but positioning the patient upright should be the priority. Assessing for recent anticoagulant use (D) is important for determining potential causes of hemoptysis but does not address the immediate need to improve oxygenation.
Question 2 of 5
Which instruction is most important for a patient with COPD using long-term oxygen therapy?
Correct Answer: B
Rationale: The correct answer is B: Do not adjust oxygen levels without consulting a provider. This is crucial because improper adjustments can lead to oxygen toxicity or inadequate oxygenation. Patients with COPD may have varying oxygen needs, so consulting a provider ensures appropriate therapy. A: Increasing oxygen flow during exercise may be necessary, but adjusting it without guidance can be harmful. C: Removing the nasal cannula during meals is not recommended as it may lead to oxygen desaturation. D: Limiting oxygen use to nighttime only is not suitable as COPD patients may require oxygen therapy throughout the day based on their condition.
Question 3 of 5
The nurse observes continuous bubbling in the water-seal chamber of a chest tube. What is the next step?
Correct Answer: C
Rationale: The correct next step is to check for air leaks in the system (Choice C). Continuous bubbling in the water-seal chamber indicates an air leak. By checking for air leaks, the nurse can identify and address the source of the problem, ensuring the chest tube is functioning properly. Clamping the tube (Choice A) can lead to tension pneumothorax. Notifying the healthcare provider (Choice B) should be done after assessing and addressing immediate issues. Adding water to the chamber (Choice D) is incorrect as it can disrupt the water seal and lead to further issues.
Question 4 of 5
Which finding in a patient post-thoracentesis requires immediate intervention?
Correct Answer: A
Rationale: The correct answer is A: Oxygen saturation of 88%. This finding requires immediate intervention because it indicates significant hypoxemia, which can be life-threatening. Hypoxemia can lead to tissue damage and organ failure if not addressed promptly. Oxygen saturation below 90% is considered critically low and requires urgent attention to prevent complications. Summary: - Choice B: Pain rated 6/10 at the site is significant but does not require immediate intervention compared to hypoxemia. - Choice C: Mild tachypnea while lying flat may indicate a potential issue, but it is not as urgent as severe hypoxemia. - Choice D: Draining 300 mL of pleural fluid is a common outcome of thoracentesis and does not warrant immediate intervention unless other symptoms are present.
Question 5 of 5
A patient reports shortness of breath and left-sided chest pain. What is the nurse's priority action?
Correct Answer: B
Rationale: The correct answer is B because assessing oxygen saturation and vital signs is crucial in determining the patient's current status and severity of the symptoms. This step provides immediate information on the patient's respiratory status and guides further interventions. Administering oxygen (A) without assessing the patient's oxygen saturation may not address the underlying issue. While a chest x-ray (C) may be necessary, it is not the immediate priority. Notifying the healthcare provider (D) can be done after assessing the patient's vital signs. Thus, choice B is the priority to ensure prompt and appropriate care for the patient.