ATI RN
Oxygen NCLEX Questions Questions
Question 1 of 5
A patient with influenza has a persistent high fever and worsening cough. What is the nurse's priority intervention?
Correct Answer: B
Rationale: The correct answer is B because reassessing lung sounds for signs of pneumonia is crucial in a patient with worsening cough as it can indicate a possible complication of influenza. Pneumonia can lead to respiratory distress and requires immediate intervention. Administering antipyretics (A) may address the fever but does not address the underlying issue. Encouraging increased fluid intake (C) and providing supportive care (D) are important but do not address the immediate risk of pneumonia in this case.
Question 2 of 5
A patient admitted to the emergency department complaining of sudden onset shortness of breath is diagnosed with a possible pulmonary embolus. How should the nurse prepare the patient for diagnostic testing to confirm the diagnosis?
Correct Answer: B
Rationale: The correct answer is B because starting an IV line allows for contrast media administration, which is crucial for diagnostic testing like a CT pulmonary angiography to confirm pulmonary embolism. Contrast media helps visualize blood vessels and detect blockages. Choice A (NPO) is unnecessary for this test. Choice C (radioactive glucose) is not used for pulmonary embolus diagnosis. Choice D (sedatives) would not be appropriate as the patient needs to be alert during the test.
Question 3 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 4 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 5 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.