ATI RN
Oxygen Therapy NCLEX Questions Questions
Question 1 of 5
The nurse supervises a student nurse who is assigned to take care of a patient with active tuberculosis (TB). Which action, if performed by the student nurse, would require an intervention by the nurse?
Correct Answer: C
Rationale: Rationale: Choice C is correct because hand washing should be performed not just before entering the room but also immediately upon leaving it to prevent the spread of TB. Hand hygiene is crucial in infection control. Choices A, B, and D are incorrect because offering a tissue, wearing a surgical mask, and bringing a snack do not pose a risk of spreading TB and are appropriate actions in caring for a patient with active TB.
Question 2 of 5
A patient with a history of diabetes is experiencing dizziness and confusion. What should the nurse do first?
Correct Answer: D
Rationale: The correct answer is D: Administer an antiemetic. When a patient with diabetes presents with dizziness and confusion, it could indicate hypoglycemia. However, administering glucose without confirming the blood sugar level can be dangerous if the patient's symptoms are not due to low blood sugar. Administering an antiemetic first can help rule out other causes of the symptoms, such as nausea or vomiting, before addressing potential hypoglycemia. Administering glucagon injection or oral glucose should only be done if confirmed hypoglycemia.
Question 3 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: The correct answer is C: Have you had frequent streptococcal throat infections? This is the most important question to ask because repeated streptococcal throat infections can lead to bronchiectasis, which is a risk factor for COPD. Bronchiectasis causes permanent dilation of the bronchi, leading to airflow obstruction. It is crucial to assess this history as it can provide valuable information on the patient's risk for developing COPD. A: Are you claustrophobic? - This question is not directly related to the assessment for COPD through pulmonary spirometry. B: Have you taken any bronchodilators today? - While important for assessing current medication use, it is not as crucial as determining the history of streptococcal throat infections. D: Do you use antihistamines for upper airway congestion? - Antihistamine use may not be directly linked to the risk factors for COPD development.
Question 4 of 5
A nurse is caring for a patient with a history of diabetes who is experiencing hypoglycemia. What should the nurse do first?
Correct Answer: A
Rationale: The correct answer is A: Administer glucose. The first step in managing hypoglycemia is to increase the patient's blood sugar level. Administering glucose helps to rapidly raise the blood sugar levels, which is crucial in treating hypoglycemia in a patient with diabetes. Administering insulin therapy (choice B) or insulin (choice C) would further lower the blood sugar levels, worsening the hypoglycemic state. Administering oxygen (choice D) is not indicated for hypoglycemia and would not address the underlying issue of low blood sugar levels. Administering glucose is the priority to quickly correct the hypoglycemia and prevent potential complications.
Question 5 of 5
A nurse is caring for a patient with a history of diabetes who is experiencing hypoglycemia. What is the priority intervention?
Correct Answer: B
Rationale: The correct answer is B: Administer insulin. During hypoglycemia, the priority is to raise blood sugar levels quickly to prevent further complications. Insulin administration would further lower blood sugar levels. Administering oral glucose (choice C) is the priority intervention as it rapidly increases blood sugar levels. Administering a beta-blocker (choice D) is not appropriate for hypoglycemia and can worsen the condition.