ATI RN
Oxygenation NCLEX Questions Quizlet Questions
Question 1 of 5
A patient is admitted with a diagnosis of acute respiratory distress syndrome (ARDS). What is the nurse's priority intervention?
Correct Answer: D
Rationale: The correct answer is D: Position the patient prone as ordered. This is the priority intervention for a patient with ARDS because it helps improve oxygenation by optimizing ventilation-perfusion matching. Prone positioning can also reduce the risk of ventilator-associated lung injury. Administering diuretics (choice A) may be necessary for fluid management in ARDS, but it is not the priority intervention. Maintaining mechanical ventilation settings (choice B) is important, but positioning the patient prone takes precedence. Monitoring oxygen saturation and ABG changes (choice C) is also vital, but prone positioning should be the immediate priority to improve oxygenation.
Question 2 of 5
The nurse teaches a patient about using a dry powder inhaler. Which statement indicates effective learning?
Correct Answer: B
Rationale: The correct answer is B because inhaling quickly and deeply ensures effective delivery of the medication to the lungs. This allows for optimal absorption and therapeutic effect. Shaking the inhaler (Choice A) is unnecessary and may cause the medication to clump. Attaching a spacer (Choice C) is typically not required for dry powder inhalers. Exhaling forcefully (Choice D) may reduce the amount of medication reaching the lungs.
Question 3 of 5
Which patient is at highest risk for developing a pulmonary embolism (PE)?
Correct Answer: B
Rationale: The correct answer is B. Patients on bed rest after hip surgery are at the highest risk for developing a pulmonary embolism (PE) due to immobilization and venous stasis, which can lead to blood clots forming in the legs that can travel to the lungs. Choice A is less likely as antibiotics can help treat pneumonia and reduce the risk of PE. Choice C is less likely as asthma and allergies do not directly increase the risk of PE. Choice D is less likely as COPD patients using supplemental oxygen are typically monitored closely and managed to reduce the risk of PE.
Question 4 of 5
The nurse reviews arterial blood gas (ABG) results for a patient with respiratory distress: pH 7.28, PaCO2 55 mm Hg, HCO3- 24 mEq/L. How should the results be interpreted?
Correct Answer: B
Rationale: The correct answer is B: Uncompensated respiratory acidosis. The low pH (acidosis) along with high PaCO2 (respiratory component) indicates primary respiratory acidosis. The HCO3- level is within normal range, ruling out metabolic compensation. There is no evidence of alkalosis. Therefore, the ABG results suggest uncompensated respiratory acidosis. Choices A, C, and D are incorrect as they do not align with the presented ABG values and interpretation.
Question 5 of 5
A nurse assesses a patient with newly diagnosed lung cancer. The patient expresses fear about the future. What is the nurse's best response?
Correct Answer: D
Rationale: The correct answer is D because it shows empathy and encourages the patient to express their feelings. By asking the patient to elaborate on their emotions, the nurse can better understand their concerns and provide appropriate support. Choice A is too direct and may not be well-received by the patient. Choice B dismisses the patient's emotional needs. Choice C may provide false reassurance and overlook the patient's current emotional state.