ATI RN
Oxygen Therapy NCLEX Questions Questions
Question 1 of 5
A patient with a history of diabetes is experiencing dizziness and confusion. What should the nurse do first?
Correct Answer: D
Rationale: The correct answer is D: Administer an antiemetic. When a patient with diabetes presents with dizziness and confusion, it could indicate hypoglycemia. However, administering glucose without confirming the blood sugar level can be dangerous if the patient's symptoms are not due to low blood sugar. Administering an antiemetic first can help rule out other causes of the symptoms, such as nausea or vomiting, before addressing potential hypoglycemia. Administering glucagon injection or oral glucose should only be done if confirmed hypoglycemia.
Question 2 of 5
A nurse is caring for a patient with a history of diabetes who is experiencing hypoglycemia. What should the nurse do first?
Correct Answer: A
Rationale: The correct answer is A: Administer glucose. The first step in managing hypoglycemia is to increase the patient's blood sugar level. Administering glucose helps to rapidly raise the blood sugar levels, which is crucial in treating hypoglycemia in a patient with diabetes. Administering insulin therapy (choice B) or insulin (choice C) would further lower the blood sugar levels, worsening the hypoglycemic state. Administering oxygen (choice D) is not indicated for hypoglycemia and would not address the underlying issue of low blood sugar levels. Administering glucose is the priority to quickly correct the hypoglycemia and prevent potential complications.
Question 3 of 5
A nurse is caring for a patient with a history of diabetes who is experiencing hypoglycemia. What is the priority intervention?
Correct Answer: B
Rationale: The correct answer is B: Administer insulin. During hypoglycemia, the priority is to raise blood sugar levels quickly to prevent further complications. Insulin administration would further lower blood sugar levels. Administering oral glucose (choice C) is the priority intervention as it rapidly increases blood sugar levels. Administering a beta-blocker (choice D) is not appropriate for hypoglycemia and can worsen the condition.
Question 4 of 5
A nurse is caring for a patient with diabetes who is experiencing hypoglycemia. What is the priority action?
Correct Answer: D
Rationale: The correct answer is D: Administer a sedative. During hypoglycemia, the brain is deprived of glucose, leading to confusion and potential loss of consciousness. Administering a sedative can help calm the patient and prevent injury from agitation. Administering glucose (A) or insulin (B) would worsen the hypoglycemia. Administering an inhaler (C) is not relevant to treating hypoglycemia.
Question 5 of 5
The laboratory has just called with the arterial blood gas (ABG) results on four patients. Which result is most important for the nurse to report immediately to the health care provider?
Correct Answer: D
Rationale: pH 7.31 and PaCO₂ 50 mm Hg indicate respiratory acidosis, requiring immediate reporting for intervention.