ATI RN
NCLEX Questions Oxygen Therapy Questions
Question 1 of 5
The nurse is preparing a patient with COPD for spirometry testing. Which instruction should the nurse include?
Correct Answer: A
Rationale: The correct answer is A because bronchodilators can affect spirometry results. Here's the rationale: 1. Bronchodilators can cause bronchodilation, affecting the test results. 2. Avoiding bronchodilators for 6-12 hours helps ensure accurate baseline lung function. 3. Eating/drinking restrictions (choice B) are not necessary for spirometry. 4. Using a rescue inhaler close to the test (choice C) can alter results. 5. Incentive spirometry (choice D) is not directly related to preparing for spirometry testing.
Question 2 of 5
Which intervention is most important for a patient with rib fractures?
Correct Answer: B
Rationale: The correct answer is B because deep breathing and coughing help prevent respiratory complications such as pneumonia in patients with rib fractures. Encouraging these actions can prevent atelectasis and promote lung expansion. Option A is incorrect because binding the chest tightly can restrict breathing and exacerbate respiratory issues. Option C is incorrect as pain medication should be administered as needed for adequate pain control. Option D is incorrect because restricting fluid intake does not directly address the respiratory complications associated with rib fractures.
Question 3 of 5
Which statement by a patient with a new tracheostomy indicates a need for further teaching?
Correct Answer: C
Rationale: Rationale for Choice C (correct answer): Suctioning a tracheostomy every 2 hours is excessive and can lead to mucosal trauma, infection, and compromised airway. Suctioning should be done only when necessary to maintain airway patency. Cleaning around the stoma, replacing soiled ties, and humidifying the air are all important aspects of tracheostomy care. Suctioning every 2 hours is not routine practice and can be harmful.
Question 4 of 5
A patient reports a chronic cough with thick, green sputum production. Which condition does this suggest?
Correct Answer: C
Rationale: The presence of thick, green sputum suggests an infection with bacteria. Pneumonia is characterized by an infection in the lungs leading to sputum production. This aligns with the patient's chronic cough and sputum color. Bronchitis typically presents with clear or white sputum. Tuberculosis usually causes bloody or yellowish sputum. Pulmonary embolism does not typically cause sputum production. Therefore, option C, pneumonia, is the most likely condition based on the symptoms described.
Question 5 of 5
A patient with a tracheostomy is unable to clear secretions. What is the nurse's next action?
Correct Answer: A
Rationale: The correct answer is A: Perform tracheal suctioning. When a patient with a tracheostomy is unable to clear secretions, suctioning is necessary to remove the accumulated secretions and maintain a clear airway. This prevents potential complications such as airway obstruction and respiratory distress. Administering a mucolytic (B) may help loosen secretions but does not address the immediate need for clearing them. Encouraging the patient to cough forcefully (C) may not be effective if the secretions are too thick or if the patient is unable to cough effectively. Increasing fluid intake (D) may help in thinning secretions but will not address the immediate need for clearing them.