ATI RN
Oxygenation NCLEX Questions Questions
Question 1 of 5
The nurse prepares a patient for bronchoscopy. Which patient statement indicates the need for further pre-procedure teaching?
Correct Answer: C
Rationale: Correct Answer: C Rationale: 1. The patient statement "I can drive myself home after the procedure" indicates a lack of understanding of the sedative effects of the procedure. 2. Sedation is commonly used during bronchoscopy, impairing the patient's ability to drive safely. 3. Patients should arrange for someone to drive them home post-procedure to ensure their safety and comply with medical guidelines. Summary: A: Correct - Fasting before bronchoscopy is necessary to reduce the risk of aspiration. B: Incorrect - Throat discomfort is a common post-procedure symptom. D: Incorrect - Allergies to anesthesia should be reported for safety reasons.
Question 2 of 5
A patient with chronic bronchitis reports difficulty sleeping due to nighttime coughing. What is the nurse's best recommendation?
Correct Answer: D
Rationale: The correct answer is D: Sleep with an extra pillow to elevate the head. Elevating the head can help reduce nighttime coughing by promoting better drainage of mucus and easing breathing. This position can also decrease the likelihood of reflux, which can worsen coughing. Option A (using a humidifier) may help with dry air but won't directly address the cough. Option B (increasing fluid intake) may worsen coughing by increasing the need to urinate. Option C (cough suppressant) should be used cautiously in chronic bronchitis as it can hinder mucus clearance.
Question 3 of 5
The nurse assesses a patient with chest trauma and notes paradoxical chest movement. What is the nurse's priority action?
Correct Answer: C
Rationale: Rationale: 1. Paradoxical chest movement indicates a serious condition like flail chest, causing impaired breathing. 2. Oxygen therapy is the priority to ensure adequate oxygenation and prevent respiratory distress. 3. Administering pain medication may mask symptoms and delay appropriate intervention. 4. Chest tube insertion may be needed but is not the immediate priority. 5. Positioning the patient on the affected side is not recommended as it can worsen respiratory distress. Summary: Oxygen therapy is crucial to address respiratory compromise in chest trauma with paradoxical chest movement, while other options may not directly address the underlying issue or could potentially delay appropriate care.
Question 4 of 5
How should a nurse position a patient for a thoracentesis with a left-sided pleural effusion?
Correct Answer: B
Rationale: The correct answer is B, sitting upright with arms supported on an over-bed table. This position allows for better visualization of the thoracentesis site, facilitates proper needle insertion, and minimizes the risk of complications such as pneumothorax. High-Fowler's position with the left arm extended (choice A) may not provide adequate access to the pleural effusion. Supine with the head of the bed elevated 30 degrees (choice C) may not allow for proper drainage and visualization. Lying on the right side with the left arm elevated (choice D) is incorrect as it does not facilitate proper access to the pleural effusion site.
Question 5 of 5
A patient recovering from a thoracotomy has no chest tube drainage for 2 hours. What should the nurse do first?
Correct Answer: B
Rationale: The correct answer is B: Assess the chest tube for kinks or obstructions. This is the first step because if there are any kinks or obstructions in the chest tube, it could lead to inadequate drainage and potentially cause complications such as pneumothorax or hemothorax. Repositioning the patient (choice A) may be necessary after ensuring the chest tube is functioning properly. Notifying the healthcare provider (choice C) should be done after assessing the chest tube. Increasing suction pressure (choice D) without assessing for kinks or obstructions may worsen the situation.