ATI RN
Oxygen Therapy NCLEX Questions Questions
Question 1 of 5
What do severe uncompensated respiratory acidosis and hypoxemia require?
Correct Answer: A
Rationale: The pH, PaCO2, and PaO2 indicate that the patient has severe uncompensated respiratory acidosis and hypoxemia. Rapid action will be required to prevent increasing hypoxemia and correct the acidosis.
Question 2 of 5
An assistive personnel (AP) was feeding a client with a tracheostomy. Later that evening, the UAP reports that the client had a coughing spell during the meal. What action by the nurse is best?
Correct Answer: A
Rationale: Coughing during feeding may indicate aspiration, so assessing lung sounds is the best action to evaluate oxygenation.
Question 3 of 5
A patient's serum electrolytes are being monitored. The nurse notices that the potassium level is low. What should the nurse assess for first?
Correct Answer: A
Rationale: Hypokalemia can cause cardiac arrhythmias, a life-threatening complication, making it the priority assessment.
Question 4 of 5
A woman with preeclampsia has a seizure. What action by the nurse takes priority?
Correct Answer: C
Rationale: Oxygen administration is the priority during a seizure to maintain oxygenation.
Question 5 of 5
The nurse identifies which nursing diagnosis as the priority for a client with acute respiratory distress syndrome (ARDS)?
Correct Answer: B
Rationale: Impaired Spontaneous Ventilation (B) is the priority in ARDS due to the severe respiratory compromise requiring immediate attention to maintain oxygenation.