ATI RN
Oxygenation NCLEX Questions Quizlet Questions
Question 1 of 5
Which intervention is a priority for a patient experiencing severe respiratory distress?
Correct Answer: C
Rationale: The correct answer is C because positioning the patient upright and providing oxygen therapy is crucial in severe respiratory distress to optimize oxygenation. This position helps improve lung expansion and ventilation. Administering a sedative (choice A) may worsen respiratory depression. Performing a complete physical assessment (choice B) is important but not the priority in an emergency situation. Initiating chest physiotherapy (choice D) can be beneficial but is not as immediate as providing oxygen and positioning.
Question 2 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 3 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 4 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.
Question 5 of 5
The nurse teaches a patient about using a dry powder inhaler. Which statement indicates effective learning?
Correct Answer: B
Rationale: The correct answer is B because inhaling quickly and deeply ensures effective delivery of the medication to the lungs. This allows for optimal absorption and therapeutic effect. Shaking the inhaler (Choice A) is unnecessary and may cause the medication to clump. Attaching a spacer (Choice C) is typically not required for dry powder inhalers. Exhaling forcefully (Choice D) may reduce the amount of medication reaching the lungs.