ATI RN
Oxygenation NCLEX Questions with Rationale Questions
Question 1 of 5
Which action is appropriate for the nurse to delegate to unlicensed assistive personnel (UAP)?
Correct Answer: D
Rationale: Measuring induration is a simple task within UAP scope, unlike assessing lung sounds or teaching.
Question 2 of 5
A patient who has a right-sided chest tube after a thoracotomy has continuous bubbling in the suction-control chamber of the collection device. Which action by the nurse is appropriate?
Correct Answer: B
Rationale: Continuous bubbling in the suction-control chamber is normal with active suction; monitoring is appropriate unless other issues arise.
Question 3 of 5
The nurse provides discharge teaching for a patient who has two fractured ribs from an automobile accident. Which statement, if made by the patient, would indicate that teaching has been effective?
Correct Answer: D
Rationale: Frequent incentive spirometry prevents atelectasis and pneumonia, key to recovery from rib fractures.
Question 4 of 5
The nurse develops a teaching plan to help increase activity tolerance at home for an older adult with severe chronic obstructive pulmonary disease (COPD). Which instructions would be appropriate for the nurse to include in the plan of care?
Correct Answer: D
Rationale: Gradual walking builds tolerance safely; stopping at dyspnea or exceeding a high pulse can exacerbate symptoms.
Question 5 of 5
Which finding in a patient hospitalized with bronchiectasis is most important to report to the health care provider?
Correct Answer: A
Rationale: Hemoptysis (bloody mucus) in bronchiectasis may indicate a serious complication like vessel erosion.