ATI RN
Oxygenation NCLEX Questions Quizlet Questions
Question 1 of 5
The nurse teaches a patient about pulmonary spirometry testing. Which statement, if made by the patient, indicates teaching was effective?
Correct Answer: C
Rationale: The correct answer is C because inhaling deeply and blowing out hard during pulmonary spirometry testing ensures accurate lung function measurements. This technique maximizes the volume of air exhaled, providing reliable test results. Choice A is incorrect because using an inhaler right before the test can affect the test results. Choice B is incorrect as fasting is not necessary for this test. Choice D is incorrect as blood pressure and pulse monitoring are not typically part of pulmonary spirometry testing.
Question 2 of 5
Which instruction is most important to include in discharge teaching for a patient with chronic obstructive pulmonary disease (COPD)?
Correct Answer: A
Rationale: The correct answer is A: Use pursed-lip breathing during activities. Pursed-lip breathing helps COPD patients improve breathing efficiency by reducing air trapping. It slows down breathing rate and helps control shortness of breath during activities. This instruction is crucial for managing COPD symptoms. Choice B is incorrect because increasing oxygen flow rate without medical advice can be harmful and is not recommended as a self-management strategy for COPD. Choice C is incorrect as limiting fluid intake can lead to dehydration and worsen COPD symptoms. Choice D is incorrect as vaccinations are crucial for COPD patients to prevent respiratory infections and complications.
Question 3 of 5
Which intervention is a priority for a patient experiencing severe respiratory distress?
Correct Answer: C
Rationale: The correct answer is C because positioning the patient upright and providing oxygen therapy is crucial in severe respiratory distress to optimize oxygenation. This position helps improve lung expansion and ventilation. Administering a sedative (choice A) may worsen respiratory depression. Performing a complete physical assessment (choice B) is important but not the priority in an emergency situation. Initiating chest physiotherapy (choice D) can be beneficial but is not as immediate as providing oxygen and positioning.
Question 4 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 5 of 5
The nurse evaluates a patient after thoracentesis. Which finding should be reported immediately?
Correct Answer: C
Rationale: The correct answer is C: Tracheal deviation to the unaffected side. Tracheal deviation indicates a potential tension pneumothorax, a life-threatening emergency that requires immediate intervention. The trachea shifts away from the affected lung due to increased pressure, compromising air exchange. Reporting this finding promptly is crucial to prevent respiratory distress and cardiac compromise. Choices A and D are not immediate concerns post-thoracentesis. Mild discomfort and drainage amount are expected after the procedure. Choice B, a respiratory rate of 24 breaths per minute, falls within the normal range and may not warrant immediate attention.