ATI RN
Oxygenation NCLEX Questions Quizlet Questions
Question 1 of 5
Which instruction is most important to include in discharge teaching for a patient with chronic obstructive pulmonary disease (COPD)?
Correct Answer: A
Rationale: The correct answer is A: Use pursed-lip breathing during activities. Pursed-lip breathing helps COPD patients improve breathing efficiency by reducing air trapping. It slows down breathing rate and helps control shortness of breath during activities. This instruction is crucial for managing COPD symptoms. Choice B is incorrect because increasing oxygen flow rate without medical advice can be harmful and is not recommended as a self-management strategy for COPD. Choice C is incorrect as limiting fluid intake can lead to dehydration and worsen COPD symptoms. Choice D is incorrect as vaccinations are crucial for COPD patients to prevent respiratory infections and complications.
Question 2 of 5
The nurse teaches a patient about incentive spirometer use post-surgery. Which statement indicates further teaching is needed?
Correct Answer: C
Rationale: The correct answer is C. Exhaling into the device does not clear the lungs; the incentive spirometer is used for inhaling to improve lung function. A is correct as using the spirometer hourly promotes lung expansion. B is incorrect as the device measures inspired volume, not lung capacity. D is correct as using the spirometer helps prevent lung complications. In summary, option C is incorrect because exhaling into the device does not serve the intended purpose of the incentive spirometer, which is to promote deep inhalation.
Question 3 of 5
The nurse evaluates a patient after thoracentesis. Which finding should be reported immediately?
Correct Answer: C
Rationale: The correct answer is C: Tracheal deviation to the unaffected side. Tracheal deviation indicates a potential tension pneumothorax, a life-threatening emergency that requires immediate intervention. The trachea shifts away from the affected lung due to increased pressure, compromising air exchange. Reporting this finding promptly is crucial to prevent respiratory distress and cardiac compromise. Choices A and D are not immediate concerns post-thoracentesis. Mild discomfort and drainage amount are expected after the procedure. Choice B, a respiratory rate of 24 breaths per minute, falls within the normal range and may not warrant immediate attention.
Question 4 of 5
A patient is admitted with a diagnosis of acute respiratory distress syndrome (ARDS). What is the nurse's priority intervention?
Correct Answer: D
Rationale: The correct answer is D: Position the patient prone as ordered. This is the priority intervention for a patient with ARDS because it helps improve oxygenation by optimizing ventilation-perfusion matching. Prone positioning can also reduce the risk of ventilator-associated lung injury. Administering diuretics (choice A) may be necessary for fluid management in ARDS, but it is not the priority intervention. Maintaining mechanical ventilation settings (choice B) is important, but positioning the patient prone takes precedence. Monitoring oxygen saturation and ABG changes (choice C) is also vital, but prone positioning should be the immediate priority to improve oxygenation.
Question 5 of 5
A nurse is teaching a patient with asthma about using a peak flow meter. Which statement requires correction?
Correct Answer: C
Rationale: The correct answer is C because using the peak flow meter during an asthma attack is incorrect. Peak flow measurements should be taken when the patient is stable and not experiencing an asthma exacerbation. This is because peak flow readings during an attack may not accurately reflect the patient's baseline lung function. Choices A, B, and D are correct because exhaling forcefully, recording the highest of three readings, and measuring peak flow at the same time daily are all appropriate techniques for using a peak flow meter to monitor asthma control.