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ATI RN · ATI Fundamentals · NCLEX Questions on Oxygenation and Perfusion

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A nurse is caring for a patient who is recovering from surgery. What is the priority intervention to prevent deep vein thrombosis (DVT)?

A. Encourage early ambulation.

B. Administer a platelet aggregation inhibitor.

C. Administer anticoagulants.

D. Monitor the patient's oxygen saturation levels.

Expert Explanatory Rationale

Correct Answer: Monitor the patient's oxygen saturation levels.

Question 2 of 5

The nurse is caring for a patient with a suspected pulmonary embolism. What is the first action?

A. Administer a prescribed bronchodilator.

B. Apply oxygen via nasal cannula.

C. Prepare the patient for a chest x-ray.

D. Initiate IV fluids.

Expert Explanatory Rationale

Correct Answer: Apply oxygen via nasal cannula.

Question 3 of 5

The nurse is performing tuberculosis (TB) skin tests in a clinic that has many patients who have immigrated to the United States. Which question is most important for the nurse to ask before the skin test?

A. Do you take any over-the-counter (OTC) medications?

B. Do you have any family members with a history of TB?

C. How long has it been since you moved to the United States?

D. Did you receive the bacille Calmette-GuÃƒÂ©rin (BCG) vaccine for TB?

Expert Explanatory Rationale

Correct Answer: How long has it been since you moved to the United States?

Question 4 of 5

The nurse is assessing a client with a chest tube. Which finding requires immediate action?

A. Continuous bubbling in the water seal chamber.

B. Drainage of 50 mL in the past hour.

C. Tidaling in the water seal chamber.

D. Chest tube dressing intact with no drainage.

Expert Explanatory Rationale

Correct Answer: Continuous bubbling in the water seal chamber.

Question 5 of 5

A nurse assesses a client after an open lung biopsy. Which assessment finding would the nurse report immediately?

A. Absent breath sounds

B. Temperature of 100.4Â°F

C. Pulse oximetry of 92%

D. Pain at the biopsy site

Expert Explanatory Rationale

Correct Answer: Absent breath sounds

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