ATI RN
NCLEX Questions Oxygen Therapy Questions
Question 1 of 5
A patient is scheduled for a thoracentesis. What position is appropriate for the procedure?
Correct Answer: B
Rationale: The correct position for a thoracentesis is sitting upright leaning over a table. This position allows for better expansion of the lung and easier access to the pleural space. Gravity helps the pleural fluid accumulate at the base of the lung, making the procedure safer and more successful. Supine position (A) may not allow proper access to the pleural space. Prone position (C) is not ideal as it can hinder lung expansion. Lying on the unaffected side (D) can also impede lung expansion and fluid accumulation at the desired site.
Question 2 of 5
A nurse is caring for a patient who has just received a dose of insulin. The patient reports feeling shaky. Which is the priority action?
Correct Answer: B
Rationale: The correct answer is B: Administer dextrose. When a patient who has received insulin reports feeling shaky, it indicates hypoglycemia. Administering dextrose helps raise blood sugar levels quickly, addressing the immediate concern. Administering glucagon (choice A) is appropriate for severe hypoglycemia but is not the priority in this case. Assessing the patient's blood glucose level (choice C) is important, but the patient's symptoms already suggest hypoglycemia, so immediate intervention is needed. Administering insulin therapy (choice D) would worsen the hypoglycemia and is inappropriate in this situation.
Question 3 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 4 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 5 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.