ATI RN
Oxygenation NCLEX Questions Quizlet Questions
Question 1 of 5
The nurse teaches a patient about incentive spirometer use post-surgery. Which statement indicates further teaching is needed?
Correct Answer: C
Rationale: The correct answer is C. Exhaling into the device does not clear the lungs; the incentive spirometer is used for inhaling to improve lung function. A is correct as using the spirometer hourly promotes lung expansion. B is incorrect as the device measures inspired volume, not lung capacity. D is correct as using the spirometer helps prevent lung complications. In summary, option C is incorrect because exhaling into the device does not serve the intended purpose of the incentive spirometer, which is to promote deep inhalation.
Question 2 of 5
A patient is admitted with a diagnosis of acute respiratory distress syndrome (ARDS). What is the nurse's priority intervention?
Correct Answer: D
Rationale: The correct answer is D: Position the patient prone as ordered. This is the priority intervention for a patient with ARDS because it helps improve oxygenation by optimizing ventilation-perfusion matching. Prone positioning can also reduce the risk of ventilator-associated lung injury. Administering diuretics (choice A) may be necessary for fluid management in ARDS, but it is not the priority intervention. Maintaining mechanical ventilation settings (choice B) is important, but positioning the patient prone takes precedence. Monitoring oxygen saturation and ABG changes (choice C) is also vital, but prone positioning should be the immediate priority to improve oxygenation.
Question 3 of 5
A nurse is teaching a patient with asthma about using a peak flow meter. Which statement requires correction?
Correct Answer: C
Rationale: The correct answer is C because using the peak flow meter during an asthma attack is incorrect. Peak flow measurements should be taken when the patient is stable and not experiencing an asthma exacerbation. This is because peak flow readings during an attack may not accurately reflect the patient's baseline lung function. Choices A, B, and D are correct because exhaling forcefully, recording the highest of three readings, and measuring peak flow at the same time daily are all appropriate techniques for using a peak flow meter to monitor asthma control.
Question 4 of 5
The nurse teaches a patient about using a dry powder inhaler. Which statement indicates effective learning?
Correct Answer: B
Rationale: The correct answer is B because inhaling quickly and deeply ensures effective delivery of the medication to the lungs. This allows for optimal absorption and therapeutic effect. Shaking the inhaler (Choice A) is unnecessary and may cause the medication to clump. Attaching a spacer (Choice C) is typically not required for dry powder inhalers. Exhaling forcefully (Choice D) may reduce the amount of medication reaching the lungs.
Question 5 of 5
Which patient is at highest risk for developing a pulmonary embolism (PE)?
Correct Answer: B
Rationale: The correct answer is B. Patients on bed rest after hip surgery are at the highest risk for developing a pulmonary embolism (PE) due to immobilization and venous stasis, which can lead to blood clots forming in the legs that can travel to the lungs. Choice A is less likely as antibiotics can help treat pneumonia and reduce the risk of PE. Choice C is less likely as asthma and allergies do not directly increase the risk of PE. Choice D is less likely as COPD patients using supplemental oxygen are typically monitored closely and managed to reduce the risk of PE.