ATI RN
NCLEX Questions for Oxygenation Questions
Question 1 of 5
A patient with idiopathic pulmonary arterial hypertension (IPAH) is receiving nifedipine (Procardia). Which assessment would best indicate to the nurse that the patient's condition is improving?
Correct Answer: C
Rationale: Decreased dyspnea reflects improved pulmonary artery pressure and oxygenation, the primary goal of IPAH treatment.
Question 2 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 3 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 4 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.
Question 5 of 5
The patient's clinical manifestations are consistent with streptococcal pharyngitis, and the nurse will anticipate the need for which of the following?
Correct Answer: A
Rationale: The patient's clinical manifestations are consistent with streptococcal pharyngitis, and the nurse will anticipate the need for a rapid strep antigen test or cultures (or both). Because patients with streptococcal pharyngitis usually do not have a cough, use of expectorants will not be anticipated. Rinsing out the mouth after inhaler use may prevent fungal oral infections, but the patient's assessment data are not consistent with a fungal infection. NSAIDs are frequently prescribed for pain and fever relief with pharyngitis.