ATI RN
NCLEX Questions on Oxygen Therapy Questions
Question 1 of 5
The nurse supervises unlicensed assistive personnel (UAP) who are providing care for a patient with right lower lobe pneumonia. The nurse should intervene if which action by UAP is observed?
Correct Answer: D
Rationale: Lowering the bed to 15 degrees increases aspiration risk and hinders lung expansion, inappropriate for pneumonia care.
Question 2 of 5
The nurse takes an admission history on a patient with possible asthma who has new-onset wheezing and shortness of breath. Which information may indicate a need for a change in therapy?
Correct Answer: C
Rationale: Propranolol, a beta-blocker, can worsen asthma by causing bronchoconstriction, necessitating a therapy review.
Question 3 of 5
What is the priority nursing concern after a bronchoscopy?
Correct Answer: C
Rationale: Risk for aspiration and maintaining an open airway is the priority. Because a local anesthetic is used to suppress the gag and cough reflexes during bronchoscopy, the nurse should monitor for the return of these reflexes before allowing the patient to take oral fluids or food. The patient does not need to be on bed rest, and the head of the bed does not need to be in the high-Fowler's position.
Question 4 of 5
What can alleviate xerostomia in a patient undergoing head and neck radiation?
Correct Answer: A
Rationale: Xerostomia can be partially alleviated by drinking fluids at frequent intervals. Radiation will damage tissues at the site being radiated but should not affect the abdominal organs, so loose stools are not a usual complication.
Question 5 of 5
Repeated negative sputum smears indicate what about Mycobacterium tuberculosis?
Correct Answer: D
Rationale: Repeated negative sputum smears indicate that Mycobacterium tuberculosis is not present in the sputum, and the patient cannot transmit the bacteria by the airborne route. Chest x-rays are not used to determine whether treatment has been successful. Taking medications for 6 months is necessary, but the multidrug-resistant forms of the disease might not be eradicated after 6 months of therapy.