ATI RN
NCLEX Questions Oxygen Therapy Questions
Question 1 of 5
A patient is admitted with active tuberculosis (TB). The nurse should question a health care provider's order to discontinue airborne precautions unless which assessment finding is documented?
Correct Answer: D
Rationale: The correct answer is D because negative sputum smears for acid-fast bacilli indicate the absence of active TB infection and therefore, discontinuing airborne precautions would be appropriate. A: Upper lobe infiltrates are common in TB. B: 6 months of TB medication doesn't indicate immediate safety. C: An induration of 10 mm in Mantoux testing could still indicate active infection.
Question 2 of 5
A nurse is caring for a postoperative patient. The patient is complaining of nausea and vomiting. What is the priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Administer antiemetic medication. Nausea and vomiting postoperatively can be due to various reasons such as anesthesia, pain medications, or delayed gastric emptying. Administering antiemetic medication helps to alleviate these symptoms, providing comfort to the patient and preventing complications like dehydration. IV fluids (choice B) may be necessary for hydration, but addressing the nausea and vomiting first is crucial. Assessing blood glucose levels (choice C) is not a priority in this situation unless there are specific indications. Choice D is a repetition of the correct answer, making it redundant.
Question 3 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 4 of 5
A nurse is caring for a patient with a history of hypertension. The patient is experiencing dizziness and lightheadedness. What is the priority action?
Correct Answer: A
Rationale: The correct answer is A: Administer antihypertensive medication. The priority action is to address the underlying cause of symptoms, which is likely elevated blood pressure causing dizziness and lightheadedness. Administering antihypertensive medication will help lower the blood pressure and alleviate the symptoms. Monitoring blood pressure (option C) is important but addressing the immediate symptoms is the priority. Administering IV fluids (option B) may not be necessary unless there are signs of dehydration. Administering insulin therapy (option D) is not indicated for dizziness and lightheadedness in a patient with hypertension.
Question 5 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.