ATI RN
Oxygen NCLEX Questions Questions
Question 1 of 5
Which instruction is most important for a patient with COPD using long-term oxygen therapy?
Correct Answer: B
Rationale: The correct answer is B: Do not adjust oxygen levels without consulting a provider. This is crucial because improper adjustments can lead to oxygen toxicity or inadequate oxygenation. Patients with COPD may have varying oxygen needs, so consulting a provider ensures appropriate therapy. A: Increasing oxygen flow during exercise may be necessary, but adjusting it without guidance can be harmful. C: Removing the nasal cannula during meals is not recommended as it may lead to oxygen desaturation. D: Limiting oxygen use to nighttime only is not suitable as COPD patients may require oxygen therapy throughout the day based on their condition.
Question 2 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 3 of 5
A patient reports shortness of breath and left-sided chest pain. What is the nurse's priority action?
Correct Answer: B
Rationale: The correct answer is B because assessing oxygen saturation and vital signs is crucial in determining the patient's current status and severity of the symptoms. This step provides immediate information on the patient's respiratory status and guides further interventions. Administering oxygen (A) without assessing the patient's oxygen saturation may not address the underlying issue. While a chest x-ray (C) may be necessary, it is not the immediate priority. Notifying the healthcare provider (D) can be done after assessing the patient's vital signs. Thus, choice B is the priority to ensure prompt and appropriate care for the patient.
Question 4 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 5 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.