ATI RN
Oxygenation NCLEX Questions Questions
Question 1 of 5
A patient with asthma is prescribed salmeterol. Which instruction should the nurse provide?
Correct Answer: C
Rationale: The correct answer is C because salmeterol is a long-acting beta agonist used for maintenance treatment of asthma, not for acute attacks. Daily use helps prevent asthma symptoms by providing long-term bronchodilation. Choices A and B are incorrect as salmeterol is not for acute attacks or require food with it. Choice D is not necessary for salmeterol, as it does not typically affect pulse rate significantly.
Question 2 of 5
The nurse prepares a patient for bronchoscopy. Which patient statement indicates the need for further pre-procedure teaching?
Correct Answer: C
Rationale: Correct Answer: C Rationale: 1. The patient statement "I can drive myself home after the procedure" indicates a lack of understanding of the sedative effects of the procedure. 2. Sedation is commonly used during bronchoscopy, impairing the patient's ability to drive safely. 3. Patients should arrange for someone to drive them home post-procedure to ensure their safety and comply with medical guidelines. Summary: A: Correct - Fasting before bronchoscopy is necessary to reduce the risk of aspiration. B: Incorrect - Throat discomfort is a common post-procedure symptom. D: Incorrect - Allergies to anesthesia should be reported for safety reasons.
Question 3 of 5
Which nursing intervention is most effective for a patient with thick respiratory secretions?
Correct Answer: A
Rationale: The correct answer is A: Encourage the patient to drink at least 2 liters of water daily. This intervention promotes hydration, which helps to liquefy thick respiratory secretions, making them easier to expectorate. Drinking adequate water also maintains mucous membrane hydration. Option B (mucolytics) may be prescribed but may not be as effective without sufficient hydration. Option C (suctioning) is invasive and should be done cautiously to prevent mucosal damage. Option D (chest physiotherapy) helps with secretion mobilization but may not be as directly effective as hydration in liquefying secretions. In summary, promoting hydration is the most effective and least invasive intervention for a patient with thick respiratory secretions.
Question 4 of 5
A patient with chronic bronchitis reports difficulty sleeping due to nighttime coughing. What is the nurse's best recommendation?
Correct Answer: D
Rationale: The correct answer is D: Sleep with an extra pillow to elevate the head. Elevating the head can help reduce nighttime coughing by promoting better drainage of mucus and easing breathing. This position can also decrease the likelihood of reflux, which can worsen coughing. Option A (using a humidifier) may help with dry air but won't directly address the cough. Option B (increasing fluid intake) may worsen coughing by increasing the need to urinate. Option C (cough suppressant) should be used cautiously in chronic bronchitis as it can hinder mucus clearance.
Question 5 of 5
The nurse assesses a patient with chest trauma and notes paradoxical chest movement. What is the nurse's priority action?
Correct Answer: C
Rationale: Rationale: 1. Paradoxical chest movement indicates a serious condition like flail chest, causing impaired breathing. 2. Oxygen therapy is the priority to ensure adequate oxygenation and prevent respiratory distress. 3. Administering pain medication may mask symptoms and delay appropriate intervention. 4. Chest tube insertion may be needed but is not the immediate priority. 5. Positioning the patient on the affected side is not recommended as it can worsen respiratory distress. Summary: Oxygen therapy is crucial to address respiratory compromise in chest trauma with paradoxical chest movement, while other options may not directly address the underlying issue or could potentially delay appropriate care.