ATI RN
NCLEX Questions Oxygen Therapy Questions
Question 1 of 5
Which intervention is most appropriate for a patient with thick pulmonary secretions?
Correct Answer: B
Rationale: The correct answer is B: Increase the patient's fluid intake. Thick pulmonary secretions can be effectively thinned out by increasing hydration, making it easier for the patient to clear the secretions through coughing and expectoration. This intervention helps to improve lung function and prevent complications such as respiratory infections. Postural drainage and percussion (Choice A) are interventions for mobilizing secretions in specific lung segments but may not address the underlying issue of thick secretions. Administering bronchodilators (Choice C) is appropriate for conditions like asthma or COPD but not directly for thick secretions. Encouraging the use of a peak flow meter (Choice D) is helpful for monitoring lung function but does not directly address the thickness of pulmonary secretions.
Question 2 of 5
Which assessment finding indicates that a patient with COPD requires immediate intervention?
Correct Answer: A
Rationale: The correct answer is A: Oxygen saturation of 85% on room air. A low oxygen saturation level indicates hypoxemia, which can be life-threatening in patients with COPD. Immediate intervention is needed to improve oxygenation. Option B is related to barrel chest, common in COPD but not an immediate concern. Option C indicates an infection which may require treatment but not immediate intervention. Option D is within normal range and does not indicate an urgent need for intervention.
Question 3 of 5
A patient is scheduled for a thoracentesis. What position is appropriate for the procedure?
Correct Answer: B
Rationale: The correct position for a thoracentesis is sitting upright leaning over a table. This position allows for better expansion of the lung and easier access to the pleural space. Gravity helps the pleural fluid accumulate at the base of the lung, making the procedure safer and more successful. Supine position (A) may not allow proper access to the pleural space. Prone position (C) is not ideal as it can hinder lung expansion. Lying on the unaffected side (D) can also impede lung expansion and fluid accumulation at the desired site.
Question 4 of 5
A patient is admitted with active tuberculosis (TB). The nurse should question a health care provider's order to discontinue airborne precautions unless which assessment finding is documented?
Correct Answer: D
Rationale: The correct answer is D because negative sputum smears for acid-fast bacilli indicate the absence of active TB infection and therefore, discontinuing airborne precautions would be appropriate. A: Upper lobe infiltrates are common in TB. B: 6 months of TB medication doesn't indicate immediate safety. C: An induration of 10 mm in Mantoux testing could still indicate active infection.
Question 5 of 5
A nurse is caring for a patient who has just received a dose of insulin. The patient reports feeling shaky. Which is the priority action?
Correct Answer: B
Rationale: The correct answer is B: Administer dextrose. When a patient who has received insulin reports feeling shaky, it indicates hypoglycemia. Administering dextrose helps raise blood sugar levels quickly, addressing the immediate concern. Administering glucagon (choice A) is appropriate for severe hypoglycemia but is not the priority in this case. Assessing the patient's blood glucose level (choice C) is important, but the patient's symptoms already suggest hypoglycemia, so immediate intervention is needed. Administering insulin therapy (choice D) would worsen the hypoglycemia and is inappropriate in this situation.