ATI RN
NCLEX Questions for Oxygenation Questions
Question 1 of 5
The nurse prepares a patient with a left-sided pleural effusion for a thoracentesis. How should the nurse position the patient?
Correct Answer: D
Rationale: Sitting upright with arms supported facilitates access to the pleural space and promotes comfort and lung expansion during thoracentesis.
Question 2 of 5
A patient with bacterial pneumonia has coarse crackles and thick sputum. Which action should the nurse plan to promote airway clearance?
Correct Answer: C
Rationale: Splinting the chest reduces pain during coughing, encouraging effective airway clearance by allowing the patient to expel thick sputum.
Question 3 of 5
A patient with idiopathic pulmonary arterial hypertension (IPAH) is receiving nifedipine (Procardia). Which assessment would best indicate to the nurse that the patient's condition is improving?
Correct Answer: C
Rationale: Decreased dyspnea reflects improved pulmonary artery pressure and oxygenation, the primary goal of IPAH treatment.
Question 4 of 5
The nurse teaches a patient with chronic bronchitis about a new prescription for Advair Diskus (combined fluticasone and salmeterol). Which action by the patient would indicate to the nurse that teaching about medication administration has been successful?
Correct Answer: B
Rationale: Rapid inhalation ensures proper delivery of the dry powder from Advair Diskus, unlike MDIs requiring slow inhalation.
Question 5 of 5
A 55-yr-old patient with increasing dyspnea is being evaluated for a possible diagnosis of chronic obstructive pulmonary disease (COPD). When teaching a patient about pulmonary spirometry for this condition, what is the most important question the nurse should ask?
Correct Answer: C
Rationale: Bronchodilators can skew spirometry results; this question ensures an accurate baseline.