ATI RN
Oxygen NCLEX Questions Questions
Question 1 of 5
The nurse is assessing a client with tuberculosis (TB). Which symptom is most commonly associated with this condition?
Correct Answer: A
Rationale: The correct answer is A: Night sweats and weight loss. These symptoms are most commonly associated with tuberculosis (TB) due to the chronic infection causing systemic effects leading to night sweats and weight loss. Option B, nosebleeds, is not typically a symptom of TB. Option C, sudden chest pain, is more commonly associated with other conditions like pneumonia or heart-related issues. Option D, bright red blood in sputum, is more indicative of conditions such as pulmonary embolism or lung cancer rather than TB.
Question 2 of 5
The nurse is caring for a patient who has a new tracheostomy. Which finding would require immediate action?
Correct Answer: D
Rationale: The correct answer is D because oxygen saturation dropping to 85% indicates hypoxemia, which is a life-threatening emergency requiring immediate intervention to prevent tissue damage and ensure adequate oxygenation. Tracheostomy ties being loose (A) can be addressed promptly but do not pose an immediate threat. A small amount of bleeding at the site (B) is common initially and can be managed with pressure. Thick and dry tracheal secretions (C) may require intervention but do not warrant immediate action like severe hypoxemia.
Question 3 of 5
A patient with chronic obstructive pulmonary disease (COPD) is receiving oxygen at 4 liters per minute via nasal cannula. Which finding should the nurse report immediately?
Correct Answer: D
Rationale: The correct answer is D because lethargy and difficulty in arousing suggest hypoxia, a serious condition that requires immediate attention. This indicates oxygen saturation is inadequate despite oxygen therapy. A: Respiratory rate of 26 breaths per minute is elevated but not an immediate concern. B: Headache and dizziness can be symptoms of hypoxia but do not require immediate action. C: Oxygen saturation of 91% is slightly low but not critically low to warrant immediate intervention.
Question 4 of 5
The nurse teaches a patient about using a nasal cannula at home. Which statement indicates a need for further teaching?
Correct Answer: B
Rationale: The correct answer is B because increasing the flow rate without healthcare provider's recommendation can lead to oxygen toxicity. Choice A is correct as cleaning the cannula weekly is appropriate for hygiene. Choice C is correct as smoking near oxygen is dangerous. Choice D is correct as kinked tubing can disrupt oxygen flow.
Question 5 of 5
A patient develops sudden hemoptysis and dyspnea. What should the nurse do first?
Correct Answer: B
Rationale: The correct answer is B: Place the patient in an upright position. This step is crucial to optimize ventilation and oxygenation by reducing pressure on the lungs and promoting better airflow. Placing the patient upright helps to improve breathing and decrease the risk of aspiration. Calling the rapid response team (A) can be important but should come after ensuring the patient's immediate safety. Applying oxygen via nasal cannula (C) is essential, but positioning the patient upright should be the priority. Assessing for recent anticoagulant use (D) is important for determining potential causes of hemoptysis but does not address the immediate need to improve oxygenation.