Oxygenation NCLEX Questions

Oxygenation NCLEX Questions Jeffery_Nwabueze Save Fundamentals of Nursing Teacher 204 terms lesliertarangoPreview ATI Chapters 43-45 (Fluid and Elect...70 terms EmilyHugPreview Fundamentals of Nursing Teacher 118 terms Angelica_Atilano Preview Fluid a 33 terms Ale A patient who started smoking in adolescence and continues to smoke 40 years later comes to the clinic. The nurse understands that this patient

has an increased risk for being diagnosed with which disorder:

A: Alcoholism and hypertension

B: Obesity and diabetes

C: Stress-related illnesses

D: Cardiopulmonary disease and lung cancer

D: Cardiopulmonary disease and lung cancer

A patient has been diagnosed with severe iron deficiency anemia. During physical assessment for which of the following symptoms would the nurse assess to determine the patient's oxygen status?

A: Increased breathlessness but increased activity tolerance

B: Decreased breathlessness and decreased activity tolerance

C: Increased activity tolerance and decreased breathlessness

D: Decreased activity tolerance and increased breathlessness

D: Decreased activity tolerance and increased breathlessness

A patient is admitted to the emergency department with suspected carbon monoxide poisoning. Even though the patient's color is ruddy, not cyanotic, the nurse understands that the patient is at a risk for decreased oxygen-carrying capacity of blood because carbon monoxide does

which of the following:

A: Stimulates hyperventilation, causing respiratory alkalosis

B: Forms a strong bond with hemoglobin, creating a functional anemia.

C: Stimulates hypoventilation, causing respiratory acidosis

D: Causes alveoli to overinflate, leading to atelectasis

B: Forms a strong bond with hemoglobin, creating a functional anemia.

A 6-year-old boy is admitted to the pediatric unit with chills and a fever of 104°F (40°C). What physiological process explains why the child is at risk for developing dyspnea?

A: Fever increases metabolic demands, requiring increased oxygen need.

B: Blood glucose stores are depleted, and the cells do not have energy to use oxygen.

C: Carbon dioxide production increases as result of hyperventilation.

D: Carbon dioxide production decreases as a result of hypoventilation.

A: Fever increases metabolic demands, requiring increased oxygen need.

A patient is admitted with the diagnosis of severe left-sided heart failure. The nurse expects to auscultate which adventitious lung sounds?

A: Sonorous wheezes in the left lower lung

B: Rhonchi midsternum

C: Crackles only in apex of lungs

D: Inspiratory crackles in lung bases

D: Inspiratory crackles in lung bases

The nurse is caring for a patient who has decreased mobility. Which intervention is a simple and cost-effective method for reducing the risks of stasis of pulmonary secretions and decreased chest wall expansion?

A: Antibiotics

B: Frequent change of position

C: Oxygen humidification

D: Chest physiotherapy

B: Frequent change of position

A patient is admitted with severe lobar pneumonia. Which of the following assessment findings would indicate that the patient needs airway suctioning?

A: Coughing up thick sputum only occasionally

B: Coughing up thin, watery sputum easily after nebulization

C: Decreased independent ability to cough

D: Lung sounds clear only after coughing

C: Decreased independent ability to cough

A patient was admitted after a motor vehicle accident with multiple fractured ribs. Respiratory assessment includes signs/symptoms of secondary pneumothorax, which includes which of the following?

A: Sharp pleuritic pain that worsens on inspiration

B: Crackles over lung bases of affected lung

C: Tracheal deviation toward the affected lung

D: Increased diaphragmatic excursion on side of rib fractures

A: Sharp pleuritic pain that worsens on inspiration

A patient has been newly diagnosed with emphysema. In discussing his condition with the nurse, which of his statements would indicate a need for further education?A: "I'll make sure that I rest between activities so I don't get so short of breath."

B: "I'll rest for 30 minutes before I eat my meal."

C: "If I have trouble breathing at night, I'll use two to three pillows to prop up." D: "If I get short of breath, I'll turn up my oxygen level to 6 L/min." D: "If I get short of breath, I'll turn up my oxygen level to 6 L/min."

The nurse goes to assess a new patient and finds him lying supine in bed. The patient tells the nurse that he feels short of breath. Which nursing action should the nurse perform first?

A: Raise the head of the bed to 45 degrees.

B: Take his oxygen saturation with a pulse oximeter.

C: Take his blood pressure and respiratory rate.

D: Notify the health care provider of his shortness of breath

A: Raise the head of the bed to 45 degrees.

The nurse is caring for a patient who exhibits labored breathing and uses accessory muscles. The patient has crackles in both lung bases and diminished breath sounds. Which would be priority assessments for the nurse to perform? (Select all that apply.)

A: SpO2 levels

B: Amount of sputum production

C: Change in respiratory rate and pattern

D: Pain in lower calf area

A: SpO2 levels

B: Amount of sputum production

C: Change in respiratory rate and pattern

Which of the following statements made by a student nurse indicates the need for further teaching about suctioning a patient with an endotracheal tube?

A: "Suctioning the patient requires sterile technique."

B: "I'll apply suction while rotating and withdrawing the suction catheter."

C: "I'll suction the mouth after I suction the endotracheal tube."

D: "I'll instill 5 mL of normal saline into the tube before hyperoxygenating the patient." D: "I'll instill 5 mL of normal saline into the tube before hyperoxygenating the patient." Two hours after surgery the nurse assesses a patient who had a chest tube inserted during surgery. There is 200 mL of dark-red drainage in the chest tube at this time. What is the appropriate action for the nurse to perform?

A: Record the amount and continue to monitor drainage

B: Notify the health care provider

C: Strip the chest tube starting at the chest

D: Increase the suction by 10 mm Hg

A: Record the amount and continue to monitor drainage

Which nursing intervention is appropriate for preventing atelectasis in the postoperative patient?

A: Postural drainage

B: Chest percussion

C: Incentive spirometer

D: Suctioning

C: Incentive spirometer

The nurse needs to apply oxygen to a patient who has a precise oxygen level prescribed. Which of the following oxygen-delivery systems should the nurse select to administer the oxygen to the patient?

A: Nasal cannula

B: Venturi mask

C: Simple face mask without inflated reservoir bag

D: Plastic face mask with inflated reservoir bag

A: Nasal cannula Terms (15)

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