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ATI RN · ATI Fundamentals · Oxygenation NCLEX Questions with Rationale

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Which patient requires immediate assessment by the nurse after a procedure?

A. Patient with COPD

B. Patient with pneumonia

C. Patient post-bronchoscopy

D. Patient with heart failure

Expert Explanatory Rationale

Correct Answer: Patient post-bronchoscopy

Question 2 of 5

A client recovering from a thoracentesis reports feeling lightheaded and short of breath. What is the nurse's priority action?

A. Encourage the client to take slow, deep breaths.

B. Assess the client for signs of pneumothorax.

C. Administer prescribed pain medication.

D. Position the client flat in bed.

Expert Explanatory Rationale

Correct Answer: Assess the client for signs of pneumothorax.

Question 3 of 5

A patient who has a right-sided chest tube after a thoracotomy has continuous bubbling in the suction-control chamber of the collection device. Which action by the nurse is appropriate?

A. Adjust the dial on the wall regulator.

B. Continue to monitor the collection device.

C. Document the presence of a large air leak.

D. Notify the surgeon of a possible pneumothorax.

Expert Explanatory Rationale

Correct Answer: Continue to monitor the collection device.

Question 4 of 5

A patient with chronic obstructive pulmonary disease (COPD) has an oxygen saturation of 88%. What should the nurse do next?

A. Administer oxygen to maintain saturation above 90%.

B. Instruct the patient to take deep breaths.

C. Notify the healthcare provider immediately.

D. Monitor the patient for changes in respiratory rate.

Expert Explanatory Rationale

Correct Answer: Administer oxygen to maintain saturation above 90%.

Question 5 of 5

The nurse provides discharge teaching for a patient who has two fractured ribs from an automobile accident. Which statement, if made by the patient, would indicate that teaching has been effective?

A. I am going to buy a rib binder to wear during the day.

B. I can take shallow breaths to prevent my chest from hurting.

C. I should plan on taking the pain pills only at bedtime so I can sleep.

D. I will use the incentive spirometer every hour or two during the day.

Expert Explanatory Rationale

Correct Answer: I will use the incentive spirometer every hour or two during the day.

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