ATI RN
Oxygen NCLEX Questions Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A nurse is caring for a patient with a history of hypertension. The patient is complaining of a headache. What should the nurse do first?
Correct Answer: B
Rationale: The correct answer is B: Monitor the patient's blood pressure. As the patient has a history of hypertension and is experiencing a headache, the nurse should first assess the current blood pressure to determine if the headache is related to hypertension. Monitoring the blood pressure provides immediate information on the patient's cardiovascular status. Checking the blood pressure (option A) may not provide ongoing assessment, administering a corticosteroid (option C) is not indicated for a headache without further evaluation, and administering intravenous fluids (option D) is not the priority without knowing the patient's current fluid status.
Question 5 of 5
A nurse is caring for a patient with a history of chronic obstructive pulmonary disease (COPD) who is receiving oxygen therapy. The patient's oxygen saturation is 87%. What is the priority action?
Correct Answer: C
Rationale: The correct answer is C: Administer oxygen therapy. In a patient with COPD and oxygen saturation of 87%, the priority action is to ensure adequate oxygenation. Administering oxygen therapy will help improve oxygen saturation levels and prevent hypoxemia. Increasing the flow rate of oxygen (choice A) may lead to oxygen toxicity. Administering a nebulized bronchodilator (choice B) can help with bronchodilation but does not address the immediate need for oxygenation. Administering corticosteroids (choice D) may be indicated for COPD exacerbations but is not the priority in this scenario.