ATI RN
Oxygen NCLEX Questions Questions
Question 1 of 5
Patients who have undergone abdominal or chest surgery are at risk for which of the following:
Correct Answer: B
Rationale: Correct Answer: B - Shallow breaths Rationale: 1. Abdominal or chest surgery can cause pain and restrict movement in the chest wall. 2. Pain and restricted movement may lead to shallow breathing. 3. Shallow breathing can result in decreased lung expansion and impaired gas exchange. 4. This can lead to complications such as atelectasis or pneumonia. Summary: A: Excessive coughing - While coughing may be painful post-surgery, it is not a direct risk associated with abdominal or chest surgery. C: Respiratory infection - While surgery can predispose patients to infections, shallow breaths directly impact respiratory function. D: Pneumonitis - While a potential complication, shallow breathing is a more immediate concern post-surgery for gas exchange.
Question 2 of 5
A nurse is assessing a client who is receiving oxygen therapy. The nurse should identify which of the following findings can indicate oxygen toxicity?
Correct Answer: B
Rationale: The correct answer is B: Ringing in the ears. Oxygen toxicity can manifest with symptoms such as ringing in the ears, also known as tinnitus. This occurs due to damage to the auditory nerve caused by high levels of oxygen. Hypertension (choice A) is not typically associated with oxygen toxicity. Fever (choice C) is more likely a sign of infection or inflammation, not oxygen toxicity. Dilated pupils (choice D) are not a common indicator of oxygen toxicity. In summary, the correct answer is ringing in the ears as it directly relates to the known effects of oxygen toxicity, while the other choices do not align with typical manifestations of oxygen toxicity.
Question 3 of 5
A nurse is teaching a client about the use of oxygen at home. Which of the following safety instructions should the nurse include?
Correct Answer: A
Rationale: Correct Answer: A: Store oxygen tanks upright and secured Rationale: Storing oxygen tanks upright prevents leaks and ensures proper oxygen flow. Securing tanks prevents them from falling over, reducing the risk of damage or injury. This instruction prioritizes safety and proper functioning of the oxygen equipment. Summary of Incorrect Choices: B: Keeping oxygen tanks in a closed cabinet may restrict ventilation, leading to potential hazards like oxygen buildup and fire risk. C: Using extension cords with oxygen concentrators can increase the risk of tripping hazards and potential damage to the equipment. D: Ensuring the tank is less than half full before refilling is not a safety instruction but rather a guideline for refilling procedures.
Question 4 of 5
The nurse is teaching a client with asthma about the use of a spacer with an inhaler. Which statement indicates correct understanding?
Correct Answer: B
Rationale: The correct answer is B because a spacer helps to increase the amount of medication that reaches the lungs by slowing down the inhalation and reducing the risk of medication depositing in the mouth or throat. Cleaning the spacer once a week with warm soapy water (choice A) is important but does not reflect understanding of how the spacer works. Exhaling into the spacer before inhaling (choice C) is incorrect and can contaminate the spacer. Choice D is incorrect because using a spacer actually helps improve the effectiveness of inhaled medications, not make them less effective.
Question 5 of 5
A client with bronchitis is prescribed guaifenesin. What should the nurse include in the teaching plan?
Correct Answer: A
Rationale: The correct answer is A: Take the medication with a full glass of water. Guaifenesin is an expectorant that works by thinning and loosening mucus in the airways, making it easier to cough up. Taking it with a full glass of water helps hydrate the patient, which aids in thinning the mucus. This promotes easier expectoration and helps relieve symptoms. Summary: B: Avoid driving while taking this medication - This is not directly related to taking guaifenesin and would be more applicable to medications that cause drowsiness. C: Take the medication on an empty stomach - Guaifenesin can be taken with or without food, so this is not necessary. D: Limit fluid intake to prevent overhydration - Hydration is important when taking guaifenesin to help with expectoration, so limiting fluid intake would not be recommended.