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ATI RN · ATI Fundamentals · NCLEX Questions Oxygen Therapy

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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 has had a total laryngectomy and radical neck dissection. During the first 24 hours after surgery what is the priority nursing action?

A. Monitor the incision for bleeding.

B. Maintain adequate IV fluid intake.

C. Keep the patient in semi-Fowler's position.

D. Teach the patient to suction the tracheostomy.

Expert Explanatory Rationale

Correct Answer: Monitor the incision for bleeding.

Question 2 of 5

In promoting healthy breathing, which of these actions is not appropriate to follow?

A. Eliminate or reduce the use of household pesticides and irritating chemical substances.

B. Make sure furnaces, ovens, and wood stoves are correctly ventilated.

C. Provide for rest periods during the day.

D. Sit straight and stand erect to permit full lung expansion.

Expert Explanatory Rationale

Correct Answer: Provide for rest periods during the day.

Question 3 of 5

Which intervention is most important for a patient with rib fractures?

A. Tightly bind the chest to reduce pain.

B. Encourage deep breathing and coughing.

C. Administer pain medication only at bedtime.

D. Restrict fluid intake to prevent pulmonary edema.

Expert Explanatory Rationale

Correct Answer: Encourage deep breathing and coughing.

Question 4 of 5

After 2 months of tuberculosis (TB) treatment with isoniazid, rifampin (Rifadin), pyrazinamide, and ethambutol, a patient continues to have positive sputum smears for acid-fast bacilli (AFB). Which action should the nurse take next?

A. Teach about drug-resistant TB.

B. Schedule directly observed therapy.

C. Ask the patient whether medications have been taken as directed.

D. Discuss the need for an injectable antibiotic with the health care provider.

Expert Explanatory Rationale

Correct Answer: Ask the patient whether medications have been taken as directed.

Question 5 of 5

A client with bronchiectasis has a large amount of foul-smelling sputum. What intervention should the nurse prioritize?

A. Encourage frequent coughing and deep breathing.

B. Increase fluid intake to 3 liters per day.

C. Administer antibiotics as prescribed.

D. Provide postural drainage therapy.

Expert Explanatory Rationale

Correct Answer: Provide postural drainage therapy.

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