ATI RN
Oxygen NCLEX Questions Questions
Question 1 of 5
The nurse is evaluating a client with emphysema who is on oxygen therapy. Which finding indicates a need for adjustment?
Correct Answer: C
Rationale: The correct answer is C: Drowsiness and confusion. This indicates a need for adjustment in oxygen therapy as it could be a sign of oxygen toxicity. Oxygen saturation of 96% (A) is within the normal range. Respiratory rate of 20 breaths per minute (B) is also normal. Increased dyspnea during exertion (D) is expected in a client with emphysema. Drowsiness and confusion are concerning symptoms that require immediate attention to prevent potential harm.
Question 2 of 5
The nurse is preparing a client for discharge after a thoracentesis. Which instruction is most important?
Correct Answer: A
Rationale: The correct answer is A: Avoid lifting heavy objects for 48 hours. After a thoracentesis, the client should avoid lifting heavy objects to prevent strain on the puncture site, reducing the risk of bleeding or injury. Lifting heavy objects can increase the risk of complications. Choices B, C, and D are not as crucial as A for immediate post-procedure care. Increasing fluid intake is important for hydration but not the most important instruction. Reporting signs of infection and performing deep breathing exercises are important but do not directly relate to the risk of injury post-thoracentesis.
Question 3 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 4 of 5
A patient in metabolic alkalosis is admitted to the emergency department, and pulse oximetry (SpO2) indicates that the O2 saturation is 94%. Which action should the nurse expect to take next?
Correct Answer: D
Rationale: The correct answer is D: Obtain repeat arterial blood gases (ABGs). In metabolic alkalosis, ABGs help determine the pH status and electrolyte levels. Repeat ABGs are needed to monitor the patient's condition closely. Choice A is not the immediate priority. Choice B is not indicated for metabolic alkalosis. Choice C is unnecessary without knowing the ABG results.
Question 5 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.