ATI RN
Oxygen NCLEX Questions Questions
Question 1 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.
Question 2 of 5
A patient with COPD is admitted for increasing dyspnea. Which finding requires the nurse's immediate attention?
Correct Answer: A
Rationale: The correct answer is A: Oxygen saturation of 84% on room air. This finding requires immediate attention because a saturation below 90% indicates severe hypoxemia in a COPD patient, putting them at risk of respiratory failure. Oxygen therapy is needed urgently to improve oxygenation. B: Respiratory rate of 22 breaths per minute is within the normal range and does not indicate immediate distress. C: Productive cough with green sputum may suggest an infection but does not require immediate attention unless accompanied by other severe symptoms. D: Bilateral wheezes can be common in COPD and indicate airflow obstruction but do not necessitate immediate intervention unless the patient's condition worsens rapidly.
Question 3 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: The correct answer is B because starting an IV line allows for contrast media administration, which is crucial for diagnostic testing like a CT pulmonary angiography to confirm pulmonary embolism. Contrast media helps visualize blood vessels and detect blockages. Choice A (NPO) is unnecessary for this test. Choice C (radioactive glucose) is not used for pulmonary embolus diagnosis. Choice D (sedatives) would not be appropriate as the patient needs to be alert during the test.
Question 4 of 5
A patient with asthma is being treated with a beta-agonist. Which statement by the patient indicates the need for further education?
Correct Answer: C
Rationale: The correct answer is C: Administer an inhaled corticosteroid. This is incorrect because inhaled corticosteroids are not beta-agonists and are used as maintenance therapy for asthma, not for acute symptom relief. The rationale is that beta-agonists are bronchodilators used for acute asthma symptoms. Choices A and B are acceptable as they relate to beta-agonist therapy. Choice D is incorrect as beta-blockers can worsen asthma symptoms.
Question 5 of 5
A nurse is caring for a patient with a history of stroke. The patient is complaining of sudden weakness in the right arm and leg. What should the nurse do first?
Correct Answer: B
Rationale: The correct answer is B: Notify the healthcare provider. In this scenario, the patient is experiencing sudden weakness in the right arm and leg, which could indicate a recurrent stroke. Notifying the healthcare provider first is crucial to ensure timely intervention and appropriate management. Performing a neurological assessment (choice A) may be important but notifying the healthcare provider takes precedence in this urgent situation. Performing a head-to-toe assessment (choice C) is not the priority as the patient's symptoms are indicative of a potential stroke. Administering a platelet inhibitor (choice D) without proper assessment and healthcare provider's guidance can be dangerous.