NURS100: OXYGENATION NCLEX QUESTIONS

NURS100: OXYGENATION NCLEX QUESTIONS

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FINAL EXAM: Oxygenation NCLEX

28 terms Mhaubold26Preview ATI- Ga 25 terms Mo A patient who started smoking in adolescence and continues to smoke 40 years later comes into the clinic. The nurse understands that this patient has an increased risk for being diagnosed with which disorder?

• Alcoholism and hypertension
• Obesity and diabetes
• Stress-related illness
• Cardiopulmonary disease and lung cancer
• Cardiopulmonary disease and lung cancer
• A patient is admitted to the emergency department for carbon monoxide poisoning. The nurse understands that the patient is at risk for

decreased oxygen-carrying capacity because carbon monoxide does which of the following?

• Stimulates hyperventilation, causing respiratory alkalosis
• Forms a strong bond with hemoglobin, creating a functional anemia
• Stimulates hypoventilation, causing respiratory acidosis
• Causes alveoli to overinflate, leading to atelectasis
• Forms a strong bond with hemoglobin, creating a functional anemia
• A 6-year old boy is admitted to the hospital with chills and a fever of 104 F. Which of the following explains why the child is at risk for

developing dyspnea?

• Fever increases metabolic demands, requiring increased oxygen need
• Blood glucose stores are depleted, and the cells do not have energy to use oxygen
• Carbon dioxide production increases as a result of hyperventilation
• Carbon dioxide production decreases as a result of hypoventilation
• Fever increases metabolic demands, requiring increased oxygen need

• A patient is admitted with a diagnosis of severe left-sided heart failure. The nurse expects to auscultate which adventitious lung sounds?
• Sonorous wheezes in the left lower lung
• Rhonchi midsternum
• Crackles in the apex of the lungs
• Inspiratory crackles in the lung bases
• Inspiratory crackles in the lung bases
• The nurse is caring for a patient with decreased mobility. Which intervention is safe and effective in reducing the risk of stasis of pulmonary

secretions?

• Antibiotics
• Frequent change of position
• Oxygen humidification
• Frequent oropharyngeal suctioning
• Frequent change of position
• A patient is admitted for pneumonia. Which of the following assessment findings would indicate that the patient needs airway suctioning?
• Coughing up thick sputum only
• Coughing up thin, watery sputum easily after nebulization treatment
• Decreased independent ability to cough
• Lung sounds that clear only after coughing
• Decreased independent ability to cough
• A patient has been newly diagnosed with emphysema. In discussing his condition with the nurse, which of the following statements would

indicate a need for further education?

• "I'll make sure that I rest between activities so that I don't get short of breath"
• "I'll rest for 30 minutes before I eat my meal"
• "If I have trouble breathing at night, I'll use two to three pillows to prop up"
• "If I get short of breath, I'll turn up my oxygen to 6L/min"
• "If I get short of breath, I'll turn up my oxygen to 6L/min"
• The nurse goes to assess a patient and finds him laying supine in bed. The patient tells the nurse he is short of breath. Which action should the

nurse perform first?

• Raise the head of the bed to 45 degrees
• Assess his oxygen saturation with a pulse oximeter
• Notify the physician of the patient's shortness of breath
• Apply oxygen at 2L/min
• Raise the head of the bed to 45 degrees

• To help the client prevent postoperative pulmonary complications, the nurse should:
• Ask the physician to order nebulizer treatments
• Teach the client to do leg exercises
• Teach the client to use an incentive spirometer
• Tell the client that if he does not cough, he may need to be suctioned
• Teach the client to use an incentive spirometer
• A patient who has dyspnea, increased respiratory rate, tachycardia, and pallor may be suffering from which of the following?
• Hyperventilation
• Hypoxia
• Pneumothorax
• Atelectasis
• Hypoxia

1. The primary purpose of surfactant is:

• To propel mucus toward the upper airway
• To warm inspired air
• To produce watery mucus
• To reduce surface tension of the fluid lining the alveoli
• To reduce surface tension of the fluid lining the alveoli
• A patient with a fractured rib reports pain with deep breathing. The nurse would document this finding as:
• Fremitus
• Hyperventilation
• Pleural rub
• Hypoventilation
• Hypoventilation
• The nurse assesses a patient's oxygen saturation as 82%. The nurse would expect to see which of the following assessment finding?
• Cyanosis
• Capillary refill <3 seconds
• Respiratory rate of 16 breaths/min
• Bounding peripheral pulses
• Cyanosis

• The nurse is caring for a patient with COPD. The nurse has explained that pursed-lip breathing helps him by:
• Increasing carbon dioxide, which stimulates breathing
• Prolonging inspiration and shortening expiration
• Prolongs expiration and decreases air trapping
• Humidifying inspired air
• Prolongs expiration and decreases air trapping
• A patient with dyspnea should be placed in which position?
• Prone
• Left lateral side-lying
• Supine
• High Fowler's
• High Fowler's
• A nurse is caring for a patient with an acute chronic obstructive pulmonary disease (COPD) exacerbation. The nurse knows that the early signs

of hypoxia include: (Select all that apply)

• Dyspnea
• Hypotension
• Decreased heart rate
• Tachypnea
• Tachycardia
• Dyspnea
• Tachypnea
• Tachycardia
• A nurse is teaching a patient how to use a metered dose inhaler (MDI) for her asthma. Which comments from the patient assure the nurse that

the teaching has been effective? Select all that apply.

• "I will be careful not to shake up the canister before using it"
• "I will hold the canister upside-down when using it"
• "I will inhale the medication through my nose"
• "I will continue to inhale when the cold propellent is in my throat"
• "I will only inhale one spray with one breath"
• "I will activate the device while continuing to inhale"
• "I will continue to inhale when the cold propellent is in my throat"
• "I will only inhale one spray with one breath"
• "I will activate the device while continuing to inhale"