ATI RN
NCLEX Questions on Oxygen Therapy Questions
Question 1 of 5
The nurse completes discharge instructions for a patient with a total laryngectomy. Which statement by the patient indicates that additional instruction is needed?
Correct Answer: A
Rationale: An occlusive dressing could block the stoma, impairing breathing; a breathable cover is needed instead.
Question 2 of 5
The nurse supervises unlicensed assistive personnel (UAP) who are providing care for a patient with right lower lobe pneumonia. The nurse should intervene if which action by UAP is observed?
Correct Answer: D
Rationale: Lowering the bed to 15 degrees increases aspiration risk and hinders lung expansion, inappropriate for pneumonia care.
Question 3 of 5
A young adult patient who denies any history of smoking is seen in the clinic with a new diagnosis of chronic obstructive pulmonary disease (COPD). The nurse should plan to teach the patient about
Correct Answer: A
Rationale: Non-smokers with COPD may have α⁴‚-antitrypsin deficiency, a genetic condition, making testing appropriate.
Question 4 of 5
The nurse takes an admission history on a patient with possible asthma who has new-onset wheezing and shortness of breath. Which information may indicate a need for a change in therapy?
Correct Answer: C
Rationale: Propranolol, a beta-blocker, can worsen asthma by causing bronchoconstriction, necessitating a therapy review.
Question 5 of 5
What is the priority nursing concern after a bronchoscopy?
Correct Answer: C
Rationale: Risk for aspiration and maintaining an open airway is the priority. Because a local anesthetic is used to suppress the gag and cough reflexes during bronchoscopy, the nurse should monitor for the return of these reflexes before allowing the patient to take oral fluids or food. The patient does not need to be on bed rest, and the head of the bed does not need to be in the high-Fowler's position.