ATI RN
NCLEX Questions on Oxygen Therapy Questions
Question 1 of 5
A patient with right lower-lobe pneumonia has been treated with IV antibiotics for 3 days. Which assessment data obtained by the nurse indicates that the treatment is effective?
Correct Answer: C
Rationale: The correct answer is C because a decrease in white blood cell count indicates a reduction in infection. This is a key indicator of the effectiveness of antibiotic treatment for pneumonia. A: Bronchial breath sounds indicate consolidation, which is not necessarily indicative of improvement. B: Green mucus suggests ongoing infection rather than improvement. D: Increased tactile fremitus can be present in pneumonia and may not necessarily change with treatment efficacy.
Question 2 of 5
A nurse is caring for a patient with severe burns. The patient is at risk for fluid volume deficit. What is the priority nursing action?
Correct Answer: A
Rationale: The correct answer is A. Administering intravenous fluids is the priority nursing action for a patient at risk for fluid volume deficit due to severe burns. This helps restore fluid balance and prevent complications like hypovolemic shock. Monitoring respiratory status (B) is important but not the priority in this case. Administering oral antibiotics (C) may be necessary but does not address the immediate risk of fluid deficit. Providing family support (D) is essential but not the priority when the patient's physiological needs must be addressed first.
Question 3 of 5
The nurse receives change-of-shift report on the following four patients. Which patient should the nurse assess first?
Correct Answer: B
Rationale: The correct answer is B because a sudden onset of shortness of breath in a patient on bed rest may indicate a life-threatening condition like a pulmonary embolism or cardiac event. Assessing this patient first is crucial for prompt intervention. Choice A can wait as pulmonary function testing is a scheduled procedure. Choice C, the TB patient, can wait briefly as medications can be administered a bit later without immediate harm. Choice D, the patient with pneumonia and a low-grade fever, is stable and can be assessed after the patient with sudden shortness of breath.
Question 4 of 5
A nurse is caring for a patient with a history of diabetes who is complaining of blurred vision. What is the priority action?
Correct Answer: C
Rationale: The correct answer is C: Monitor the patient's blood glucose levels. This is the priority action because blurred vision can be a sign of uncontrolled blood glucose levels in diabetic patients. By monitoring the patient's blood glucose levels, the nurse can assess if the blurred vision is related to high or low blood sugar levels, and take appropriate actions such as administering insulin or providing glucose if needed. Checking the blood glucose level (choice A) is a single-point assessment and may not provide the full picture. Monitoring blood glucose levels (choice B) is repetitive and not specific to the current complaint. Administering intravenous fluids (choice D) is not necessary unless the patient is severely dehydrated, which is not indicated by the complaint of blurred vision.
Question 5 of 5
A nurse is caring for a patient with a history of stroke who is experiencing difficulty swallowing. What is the priority action?
Correct Answer: B
Rationale: The correct answer is B: Administer soft foods and fluids. This is the priority action because the patient is experiencing difficulty swallowing, which can lead to aspiration and further complications. Soft foods and fluids are easier for the patient to swallow safely. Administering thickened liquids (choice A) can still pose a risk of aspiration. Administering antihypertensive medications (choice C) is not the priority in this situation. Administering IV fluids (choice D) may not address the immediate issue of difficulty swallowing.