ATI RN
NCLEX Questions Oxygen Therapy Questions
Question 1 of 5
In promoting healthy breathing, which of these actions is not appropriate to follow?
Correct Answer: C
Rationale: While rest is important for overall well-being, it is not a specific action related to promoting healthy breathing. The other actions mentioned, such as eliminating or reducing household pesticides, ensuring proper ventilation, and maintaining good posture, are more directly related to supporting healthy respiratory function.
Question 2 of 5
A nurse is caring for a client who requires 1 L of oxygen. Which of the following oxygen delivery devices should the nurses expect to use?
Correct Answer: A
Rationale: The correct answer is A: Nasal cannula. It delivers low to medium concentrations of oxygen, suitable for clients requiring 1 L of oxygen. Nasal cannula is comfortable and allows for mobility. Other choices are incorrect: B delivers high concentrations, C has a reservoir bag, and D delivers low to moderate concentrations but is not the most appropriate for 1 L.
Question 3 of 5
The nurse determines that an elderly patient is at risk for infection due to decreased immunity. Which plan of care best addresses the prevention of infection for the patient?
Correct Answer: A
Rationale: The correct answer is A: Encourage the patient to stay up to date on all vaccinations. This is the best plan of care because vaccines help boost immunity and protect against various infections. By staying current on vaccinations, the elderly patient can prevent contracting preventable diseases. Annual tuberculosis skin testing (C) is important for detecting TB but does not directly address prevention. Finishing antibiotics (B) is important for treating infections but does not prevent them. Creating an exercise routine (D) is beneficial for overall health but does not specifically target preventing infections.
Question 4 of 5
A nurse is reviewing discharge instructions with a client who has chronic obstructive pulmonary disease (COPD). Which of the following should the nurse include?
Correct Answer: C
Rationale: Rationale for Correct Answer (C): 1. Engaging in regular moderate exercise helps improve lung function and overall physical endurance in COPD patients. 2. Exercise can help strengthen respiratory muscles and reduce shortness of breath. 3. Regular exercise can also improve circulation and promote better oxygen delivery to tissues. Summary of Incorrect Choices: A. Avoiding fluid intake to reduce mucus production is incorrect as hydration is important for thinning mucus and preventing dehydration. B. Using a bronchodilator after exercising may be necessary, but it is not the most essential discharge instruction. D. Sleeping in a fully supine position is not recommended for COPD patients as it can worsen breathing difficulties.
Question 5 of 5
In providing care to a patient admitted with acute asthma exacerbation, the nurse prepares which 'rescue' medication for administration first?
Correct Answer: D
Rationale: The correct answer is D: Short-acting beta2-adrenergic agonists. In acute asthma exacerbation, rapid bronchodilation is crucial for symptom relief. Short-acting beta2-agonists like albuterol act quickly to dilate the airways, providing immediate relief of bronchospasm and improving airflow. This medication is the first-line treatment for acute asthma attacks as it targets the underlying issue of bronchoconstriction. A: Inhaled anti-inflammatories, like corticosteroids, are essential for long-term control of asthma but are not used as rescue medications for acute exacerbations. B: Mucolytics help in thinning mucus but do not address the bronchoconstriction seen in acute asthma exacerbations. C: Long-acting beta2-agonists are used for maintenance therapy in asthma management and are not intended for quick relief during acute attacks.