ATI RN
NCLEX Questions Oxygen Therapy Questions
Question 1 of 5
A patient is admitted to the emergency department with an open stab wound to the left chest. What action should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Administer a vasodilator. Administering a vasodilator would help in stabilizing the patient's condition by reducing blood pressure and improving blood flow. This can be crucial in managing hypotension and preventing further complications. A: Covering the wound tightly with an occlusive dressing may trap air inside the chest cavity, leading to tension pneumothorax. B: Taping a nonporous dressing on three sides can also lead to tension pneumothorax by preventing air from escaping the chest. C: Positioning the patient so that the left chest is dependent is not appropriate in this scenario as it does not address the underlying issue of the stab wound.
Question 2 of 5
A nurse is caring for a patient with chronic kidney disease (CKD). What is the priority nursing intervention?
Correct Answer: D
Rationale: The correct answer is D: Administer IV morphine. In CKD, pain management is crucial due to associated complications. Administering IV morphine helps alleviate pain effectively. Diuretics (A) are not indicated in CKD as they can worsen kidney function. Administering IV fluids (B) should be done cautiously to prevent fluid overload. Encouraging mobility and range of motion (C) is important for overall health but not the priority in this case.
Question 3 of 5
A nurse is caring for a patient with a history of asthma. The patient is complaining of wheezing. What is the priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Administer albuterol (Ventolin). The priority intervention is to administer albuterol, a fast-acting bronchodilator that helps relieve bronchoconstriction and wheezing in asthma. Albuterol works quickly to open the airways and improve breathing, which is crucial in managing acute asthma symptoms. Oral medications (choice B) may take longer to take effect and are not the first-line treatment for acute wheezing. Nebulized bronchodilators (choice C) are effective but albuterol is preferred for its faster onset of action. Corticosteroids (choice D) are used for long-term asthma management and are not the immediate priority in treating acute wheezing.
Question 4 of 5
A nurse is caring for a patient with a history of chronic kidney disease (CKD). The patient is experiencing fluid retention. What is the priority action?
Correct Answer: B
Rationale: The correct answer is B: Administer insulin. In a patient with CKD experiencing fluid retention, insulin is the priority action. Insulin helps to regulate blood glucose levels, which can impact fluid balance in the body. High blood glucose levels can lead to osmotic diuresis, causing fluid retention. Administering insulin helps to lower blood glucose levels, which in turn can help reduce fluid retention. Choice A: Administer diuretics - While diuretics can help with fluid retention, in a patient with CKD, using diuretics without addressing the underlying cause (high blood glucose levels) can worsen kidney function. Choice C and D: Administer IV fluids - Administering more fluids would exacerbate the fluid retention issue in a patient with CKD. It is important to address the underlying cause of fluid retention first.
Question 5 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: A CT pulmonary angiography, common for pulmonary embolus, requires IV contrast, so starting an IV is appropriate.