ATI RN
NCLEX Questions for Oxygenation Questions
Question 1 of 5
Which assessment finding would the nurse identify as a key manifestation of respiratory acidosis?
Correct Answer: A
Rationale: The patient is experiencing respiratory acidosis (⁴†“ pH and ⁴†‘ PaCO2) which may be manifested by disorientation, tremors, possible seizures, and decreased level of consciousness. Tachycardia and decreased blood pressure are not characteristic of respiratory acidosis.
Question 2 of 5
A nurse obtains the health history of a client who is newly admitted to the medical unit. Which statement by the client would alert the nurse to the presence of edema?
Correct Answer: B
Rationale: Tight shoes by day's end suggest peripheral edema, a sign of fluid retention.
Question 3 of 5
A woman with severe preeclampsia is being treated with bed rest and intravenous magnesium sulfate. The drug classification of this medication is
Correct Answer: B
Rationale: Magnesium sulfate is an anticonvulsant used to prevent seizures in preeclampsia.
Question 4 of 5
The client with ARDS who is likely to have the poorest outcome is
Correct Answer: B
Rationale: The risk for mortality from ARDS is greater for men, African Americans, and those with sepsis. Thus, an African American male with sepsis (B) has the poorest prognosis.
Question 5 of 5
The nurse is planning care for a client diagnosed with chronic obstructive pulmonary disease (COPD). When planning care for this client, which interventions are appropriate to enhance the client's breathing pattern? Select one that doesn't apply.
Correct Answer: B
Rationale: Rest periods (A), relaxation techniques (C), and pursed-lip breathing (D) enhance breathing by reducing demand and improving airflow.