ATI RN
Chapter 41 Oxygenation NCLEX Questions Questions
Question 1 of 5
The nurse is assessing a client with acute asthma exacerbation. Which finding indicates the condition is worsening?
Correct Answer: A
Rationale: The correct answer is A: Decreased wheezing on auscultation. In acute asthma exacerbation, decreased wheezing indicates airway constriction worsening, leading to decreased airflow. Increased respiratory rate (B) signifies increased effort to breathe due to worsening condition. Oxygen saturation improvement (C) is positive but doesn't indicate worsening. Client reporting reduced shortness of breath (D) is also positive and suggests improvement.
Question 2 of 5
After the nurse has received a change-of-shift report, which patient should the nurse assess first?
Correct Answer: C
Rationale: The nurse should assess the patient with possible lung cancer who has just returned after bronchoscopy first because this patient may be at risk for complications such as bleeding, respiratory distress, or infection post-procedure. Assessing this patient promptly allows for early identification and intervention if any issues arise. The other choices present conditions that may require assessment but do not have the immediate post-procedure risk associated with bronchoscopy. The patient with pneumonia (choice A) may need assessment for respiratory status, but the urgency is lower than the post-bronchoscopy patient. The patient with chronic bronchitis (choice B) may require monitoring, but the low forced vital capacity does not indicate an acute issue. The patient with hemoptysis and a positive tuberculin skin test (choice D) may need further evaluation for tuberculosis, but the immediate risk is lower than the post-bronchoscopy patient.
Question 3 of 5
The nurse is teaching a patient about home care following discharge after a thoracentesis. Which statement by the patient indicates a need for further teaching?
Correct Answer: C
Rationale: The correct answer is C because lifting anything heavier than 20 pounds can strain the area where the thoracentesis was performed, leading to complications like bleeding or pain. A: Indicates awareness of potential respiratory issues. B: Rest is essential for recovery. D: Monitoring for signs of infection at the site is crucial. It's important for the patient to understand and follow all post-procedure instructions to ensure proper healing and prevent complications.
Question 4 of 5
The nurse is preparing a patient for a thoracentesis. Which action is appropriate?
Correct Answer: C
Rationale: The correct answer is C: Position the patient sitting upright and leaning forward on a table. This position allows for easier access to the thoracic cavity and helps prevent potential complications such as pneumothorax. Prone position (A) makes access difficult, NPO for 8 hours (B) is unnecessary for this procedure, and Trendelenburg position (D) can increase the risk of aspiration.
Question 5 of 5
A patient presents with sudden chest pain and dyspnea. Which condition should the nurse suspect?
Correct Answer: A
Rationale: The correct answer is A: Pulmonary embolism. Sudden chest pain and dyspnea are classic symptoms of a pulmonary embolism, which is a blockage in one of the pulmonary arteries. This condition requires immediate medical attention due to the risk of serious complications like pulmonary infarction. Pneumothorax (B) presents with sharp chest pain and shortness of breath but is more commonly associated with trauma or underlying lung disease. Pneumonia (C) typically presents with gradual onset of symptoms such as fever and productive cough. Asthma attack (D) presents with wheezing and coughing, usually triggered by allergens or exercise.