ATI RN
NCLEX Questions Oxygen Therapy Questions
Question 1 of 5
Which assessment finding indicates that a patient with COPD requires immediate intervention?
Correct Answer: A
Rationale: The correct answer is A: Oxygen saturation of 85% on room air. A low oxygen saturation level indicates hypoxemia, which can be life-threatening in patients with COPD. Immediate intervention is needed to improve oxygenation. Option B is related to barrel chest, common in COPD but not an immediate concern. Option C indicates an infection which may require treatment but not immediate intervention. Option D is within normal range and does not indicate an urgent need for intervention.
Question 2 of 5
A patient is admitted with active tuberculosis (TB). The nurse should question a health care provider's order to discontinue airborne precautions unless which assessment finding is documented?
Correct Answer: D
Rationale: The correct answer is D because negative sputum smears for acid-fast bacilli indicate the absence of active TB infection and therefore, discontinuing airborne precautions would be appropriate. A: Upper lobe infiltrates are common in TB. B: 6 months of TB medication doesn't indicate immediate safety. C: An induration of 10 mm in Mantoux testing could still indicate active infection.
Question 3 of 5
A nurse is caring for a patient who has just received a dose of insulin. The patient reports feeling shaky. Which is the priority action?
Correct Answer: B
Rationale: The correct answer is B: Administer dextrose. When a patient who has received insulin reports feeling shaky, it indicates hypoglycemia. Administering dextrose helps raise blood sugar levels quickly, addressing the immediate concern. Administering glucagon (choice A) is appropriate for severe hypoglycemia but is not the priority in this case. Assessing the patient's blood glucose level (choice C) is important, but the patient's symptoms already suggest hypoglycemia, so immediate intervention is needed. Administering insulin therapy (choice D) would worsen the hypoglycemia and is inappropriate in this situation.
Question 4 of 5
A nurse is caring for a postoperative patient. The patient is complaining of nausea and vomiting. What is the priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Administer antiemetic medication. Nausea and vomiting postoperatively can be due to various reasons such as anesthesia, pain medications, or delayed gastric emptying. Administering antiemetic medication helps to alleviate these symptoms, providing comfort to the patient and preventing complications like dehydration. IV fluids (choice B) may be necessary for hydration, but addressing the nausea and vomiting first is crucial. Assessing blood glucose levels (choice C) is not a priority in this situation unless there are specific indications. Choice D is a repetition of the correct answer, making it redundant.
Question 5 of 5
A patient is admitted to the emergency department with an open stab wound to the left chest. What action should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Administer a vasodilator. Administering a vasodilator would help in stabilizing the patient's condition by reducing blood pressure and improving blood flow. This can be crucial in managing hypotension and preventing further complications. A: Covering the wound tightly with an occlusive dressing may trap air inside the chest cavity, leading to tension pneumothorax. B: Taping a nonporous dressing on three sides can also lead to tension pneumothorax by preventing air from escaping the chest. C: Positioning the patient so that the left chest is dependent is not appropriate in this scenario as it does not address the underlying issue of the stab wound.