ATI RN
Oxygenation NCLEX Questions Quizlet Questions
Question 1 of 5
Which patient is at highest risk for developing a pulmonary embolism (PE)?
Correct Answer: B
Rationale: The correct answer is B. Patients on bed rest after hip surgery are at the highest risk for developing a pulmonary embolism (PE) due to immobilization and venous stasis, which can lead to blood clots forming in the legs that can travel to the lungs. Choice A is less likely as antibiotics can help treat pneumonia and reduce the risk of PE. Choice C is less likely as asthma and allergies do not directly increase the risk of PE. Choice D is less likely as COPD patients using supplemental oxygen are typically monitored closely and managed to reduce the risk of PE.
Question 2 of 5
A nurse assesses a patient with newly diagnosed lung cancer. The patient expresses fear about the future. What is the nurse's best response?
Correct Answer: D
Rationale: The correct answer is D because it shows empathy and encourages the patient to express their feelings. By asking the patient to elaborate on their emotions, the nurse can better understand their concerns and provide appropriate support. Choice A is too direct and may not be well-received by the patient. Choice B dismisses the patient's emotional needs. Choice C may provide false reassurance and overlook the patient's current emotional state.
Question 3 of 5
The nurse is listening to the client's breath sounds and hears a creaking, grating sound on inspiration and expiration over the posterior right lower lobe. How would the nurse correctly document this on the client's record?
Correct Answer: D
Rationale: The correct answer is D: Pleural friction rub. This sound is caused by inflamed pleural surfaces rubbing together during inspiration and expiration. The creaking, grating quality is characteristic of a pleural friction rub. Wheezes (A) are high-pitched musical sounds, crackles (B) are fine, crackling sounds, and rhonchi (C) are low-pitched, snoring sounds. These do not match the description given in the question.
Question 4 of 5
A nurse is caring for a postoperative patient who is having difficulty breathing. Which is the priority nursing intervention?
Correct Answer: B
Rationale: The correct answer is B: Administer oxygen. This is the priority intervention because the patient is having difficulty breathing, indicating possible respiratory distress. Administering oxygen will help improve oxygenation and support the patient's respiratory function. Checking vital signs is important but addressing the breathing difficulty takes precedence. Administering pain medication or a sedative is not appropriate without addressing the underlying cause of respiratory distress. Oxygen therapy should be initiated promptly to ensure the patient's safety and well-being.
Question 5 of 5
A nurse is caring for a patient with severe burns. What is the priority intervention?
Correct Answer: C
Rationale: The correct answer is C: Provide sedation. This is the priority intervention for a patient with severe burns to manage pain and anxiety, prevent shock, and facilitate wound care. Sedation helps to reduce the patient's distress and allows for better assessment and treatment. Administering IV fluids (B) is important but not the top priority. Providing pain relief (A) is crucial, but sedation may be more effective for severe burns. Administering an antiemetic (D) is not the priority unless the patient is actively vomiting.