ATI RN
NCLEX Questions for Oxygenation Questions
Question 1 of 5
A patient with bacterial pneumonia has coarse crackles and thick sputum. Which action should the nurse plan to promote airway clearance?
Correct Answer: C
Rationale: Splinting the chest reduces pain during coughing, encouraging effective airway clearance by allowing the patient to expel thick sputum.
Question 2 of 5
The nurse teaches a patient with chronic bronchitis about a new prescription for Advair Diskus (combined fluticasone and salmeterol). Which action by the patient would indicate to the nurse that teaching about medication administration has been successful?
Correct Answer: B
Rationale: Rapid inhalation ensures proper delivery of the dry powder from Advair Diskus, unlike MDIs requiring slow inhalation.
Question 3 of 5
A 55-yr-old patient with increasing dyspnea is being evaluated for a possible diagnosis of chronic obstructive pulmonary disease (COPD). When teaching a patient about pulmonary spirometry for this condition, what is the most important question the nurse should ask?
Correct Answer: C
Rationale: Bronchodilators can skew spirometry results; this question ensures an accurate baseline.
Question 4 of 5
The nurse is reviewing the medical records for five patients who are scheduled for their yearly physical examinations in September. Which patients should receive the inactivated influenza vaccination (select one that doesn't apply)?
Correct Answer: C
Rationale: Elderly, pregnant, and immunocompromised (corticosteroids) patients are at high risk for flu complications.
Question 5 of 5
What is the correct technique for palpating chest excursion?
Correct Answer: A
Rationale: The technique for palpation for chest excursion is shown in the illustrated technique. Reduced chest movement would be noted on palpation of a patient's chest with COPD. Hyperresonance would be assessed through percussion.