ATI RN
NCLEX Style Questions on Oxygenation Questions
Question 1 of 5
The nurse teaches a patient about the transmission of pulmonary tuberculosis (TB). Which statement, if made by the patient, indicates that teaching was effective?
Correct Answer: C
Rationale: The correct answer is C. Keeping the windows closed at home helps prevent the spread of TB bacteria by reducing the circulation of contaminated air. This statement shows understanding of how TB is transmitted through the air. Explanation: A: Taking the bus instead of driving does not relate to TB transmission. B: Having the spouse sleep in another room may reduce transmission, but it does not address other potential sources. D: Staying indoors whenever possible does not address the risk of exposure to contaminated air inside the home.
Question 2 of 5
A nurse is caring for a patient with a history of hypertension. The patient is experiencing a hypertensive crisis. What is the priority intervention?
Correct Answer: C
Rationale: The priority intervention for a patient experiencing a hypertensive crisis is to reduce blood pressure gradually to prevent complications like stroke or heart attack. Encouraging deep breathing exercises helps lower blood pressure by promoting relaxation and reducing stress. Administering antihypertensive medication or nitroglycerin may cause a sudden drop in blood pressure, leading to hypoperfusion of vital organs. Thrombolytic therapy is not indicated for hypertensive crisis. Deep breathing exercises are a safe and effective first-line intervention to manage the hypertensive crisis.
Question 3 of 5
The nurse notes that a patient has incisional pain, a poor cough effort, and scattered coarse crackles after a thoracotomy. Which action should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Positioning only on the right side. This is the first action the nurse should take because it helps improve ventilation-perfusion matching and oxygenation post-thoracotomy. By positioning the patient on the right side, gravity helps to optimize lung expansion on the unaffected side, improving gas exchange. Option A may be uncomfortable for the patient and not directly address the underlying issue. Option B is important but not the first priority in this scenario. Option D is also essential but positioning on the right side takes precedence in addressing the patient's immediate needs.
Question 4 of 5
A nurse is caring for a patient with a history of asthma who is complaining of chest tightness and wheezing. What is the priority intervention?
Correct Answer: B
Rationale: The correct answer is B: Notify the healthcare provider. The priority intervention is to inform the healthcare provider because the patient is experiencing worsening symptoms of asthma, which may require immediate medical attention or a change in treatment plan. Administering a bronchodilator (choice A) can help relieve symptoms, but it is not the priority when the patient's condition is deteriorating. Encouraging deep breathing exercises (choice C) may not be effective in managing acute asthma exacerbation. Administering a sedative (choice D) is not appropriate and can worsen respiratory distress. Overall, notifying the healthcare provider ensures timely assessment and appropriate intervention for the patient's worsening condition.
Question 5 of 5
A nurse is caring for a patient with a history of asthma. What is the priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Administer a bronchodilator. This is the priority intervention because bronchodilators help to quickly open up the airways in asthma patients, providing immediate relief from symptoms like shortness of breath and wheezing. Administering a bronchodilator first is crucial in managing an acute asthma attack. Corticosteroids (choices B and C) are used for long-term management and take longer to have an effect. Antibiotics (choice D) are not indicated for asthma unless there is a secondary bacterial infection present. Therefore, the priority is to administer a bronchodilator for rapid relief of asthma symptoms.