ATI RN
NCLEX Questions on Oxygenation and Perfusion Questions
Question 1 of 5
Which action should the nurse take first when a patient develops epistaxis?
Correct Answer: B
Rationale: Applying pressure is the first-line, non-invasive action to stop epistaxis.
Question 2 of 5
A patient with a possible pulmonary embolism complains of chest pain and difficulty breathing. The nurse finds a heart rate of 142 beats/min, blood pressure of 100/60 mm Hg, and respirations of 42 breaths/min. Which action should the nurse take first?
Correct Answer: D
Rationale: Elevating the head improves breathing and oxygenation immediately, addressing acute distress while awaiting further intervention.
Question 3 of 5
The nurse is caring for a patient with chronic obstructive pulmonary disease (COPD). Which information obtained from the patient would prompt the nurse to consult with the health care provider before administering the prescribed theophylline?
Correct Answer: C
Rationale: Cimetidine inhibits theophylline metabolism, increasing toxicity risk, necessitating consultation.
Question 4 of 5
A patient newly diagnosed with asthma is being discharged. The nurse anticipates including which topic in the discharge teaching?
Correct Answer: C
Rationale: Inhaled corticosteroids are a cornerstone of asthma management, requiring patient education on use.
Question 5 of 5
What lung sounds are likely heard in the early phase of heart failure?
Correct Answer: C
Rationale: Fine crackles are likely to be heard in the early phase of heart failure. Fine crackles are discontinuous, high-pitched sounds of short duration heard on inspiration. Course crackles are a series of long-duration, discontinuous, low-pitched sounds during inspiration. Wheezes are continuous high-pitched musical sounds on inspiration and expiration.