ATI RN
NCLEX Questions Oxygen Therapy Questions
Question 1 of 5
The nurse obtains the following assessment data on an older patient who has influenza. Which information will be most important for the nurse to communicate to the health care provider?
Correct Answer: B
Rationale: The correct answer is B: Diffuse crackles in the lungs. This is the most important information to communicate as it indicates possible complications like pneumonia, which requires immediate medical attention. Fever (A), sore throat and cough (C), myalgia and headache (D) are common symptoms of influenza and can be managed symptomatically. However, lung crackles signify a potential serious respiratory issue that needs prompt intervention to prevent further deterioration.
Question 2 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 3 of 5
A patient reports sudden shortness of breath and chest pain. Which condition should the nurse suspect first?
Correct Answer: B
Rationale: The correct answer is B: Pulmonary embolism. This is the most critical condition among the choices that presents with sudden shortness of breath and chest pain. Pulmonary embolism occurs when a blood clot travels to the lungs, causing blockage in the pulmonary arteries, leading to severe respiratory distress and chest pain. The other choices (Acute bronchitis, Pneumonia, and Asthma exacerbation) may also present with similar symptoms, but they typically do not manifest as suddenly and severely as a pulmonary embolism. It is crucial for the nurse to suspect and prioritize investigating a pulmonary embolism in this scenario due to its life-threatening nature and the need for immediate medical intervention.
Question 4 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 5 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.