ATI RN
Oxygen NCLEX Questions Questions
Question 1 of 5
Which finding in a patient post-thoracentesis requires immediate intervention?
Correct Answer: A
Rationale: The correct answer is A: Oxygen saturation of 88%. This finding requires immediate intervention because it indicates significant hypoxemia, which can be life-threatening. Hypoxemia can lead to tissue damage and organ failure if not addressed promptly. Oxygen saturation below 90% is considered critically low and requires urgent attention to prevent complications. Summary: - Choice B: Pain rated 6/10 at the site is significant but does not require immediate intervention compared to hypoxemia. - Choice C: Mild tachypnea while lying flat may indicate a potential issue, but it is not as urgent as severe hypoxemia. - Choice D: Draining 300 mL of pleural fluid is a common outcome of thoracentesis and does not warrant immediate intervention unless other symptoms are present.
Question 2 of 5
A patient with influenza has a persistent high fever and worsening cough. What is the nurse's priority intervention?
Correct Answer: B
Rationale: The correct answer is B because reassessing lung sounds for signs of pneumonia is crucial in a patient with worsening cough as it can indicate a possible complication of influenza. Pneumonia can lead to respiratory distress and requires immediate intervention. Administering antipyretics (A) may address the fever but does not address the underlying issue. Encouraging increased fluid intake (C) and providing supportive care (D) are important but do not address the immediate risk of pneumonia in this case.
Question 3 of 5
A patient with COPD is admitted for increasing dyspnea. Which finding requires the nurse's immediate attention?
Correct Answer: A
Rationale: The correct answer is A: Oxygen saturation of 84% on room air. This finding requires immediate attention because a saturation below 90% indicates severe hypoxemia in a COPD patient, putting them at risk of respiratory failure. Oxygen therapy is needed urgently to improve oxygenation. B: Respiratory rate of 22 breaths per minute is within the normal range and does not indicate immediate distress. C: Productive cough with green sputum may suggest an infection but does not require immediate attention unless accompanied by other severe symptoms. D: Bilateral wheezes can be common in COPD and indicate airflow obstruction but do not necessitate immediate intervention unless the patient's condition worsens rapidly.
Question 4 of 5
A patient admitted to the emergency department complaining of sudden onset shortness of breath is diagnosed with a possible pulmonary embolus. How should the nurse prepare the patient for diagnostic testing to confirm the diagnosis?
Correct Answer: B
Rationale: The correct answer is B because starting an IV line allows for contrast media administration, which is crucial for diagnostic testing like a CT pulmonary angiography to confirm pulmonary embolism. Contrast media helps visualize blood vessels and detect blockages. Choice A (NPO) is unnecessary for this test. Choice C (radioactive glucose) is not used for pulmonary embolus diagnosis. Choice D (sedatives) would not be appropriate as the patient needs to be alert during the test.
Question 5 of 5
A patient with asthma is being treated with a beta-agonist. Which statement by the patient indicates the need for further education?
Correct Answer: C
Rationale: The correct answer is C: Administer an inhaled corticosteroid. This is incorrect because inhaled corticosteroids are not beta-agonists and are used as maintenance therapy for asthma, not for acute symptom relief. The rationale is that beta-agonists are bronchodilators used for acute asthma symptoms. Choices A and B are acceptable as they relate to beta-agonist therapy. Choice D is incorrect as beta-blockers can worsen asthma symptoms.