Passpoint- Oxygenation
Answer Key
Question 1 See full question
Which practice should a nurse recommend to a client who has had a cesarean birth?
You Selected:
• Coughing and deep-breathing exercises
Correct response:
• Coughing and deep-breathing exercises
Explanation:
Remediation:
Question 2 See full question
A neonate born at 40 weeks' gestation admitted to the nursery is found to be hypoglycemic. At 4
hours of age, the neonate appears pale and his pulse oximeter isreading 75% on room air. The
nurse should:
You Selected:
• provide supplemental oxygen
Correct response:
• provide supplemental oxygen
Explanation:
Remediation:
Question 3 See full question
During the first feeding, the nurse observes that the neonate becomes cyanotic aftergagging on
mucus. What should the nurse do first?
You Selected:
• Raise the neonate's head and pat the back gently.
Correct response:
• Clear the neonate's airway with suction or gravity.
Explanation:
, Remediation:
Question 4 See full question
A preschool child immobilized in a hip spica cast has trouble breathing after meals. Which action
would be best?
You Selected:
• Encourage the child to drink more between meals.
Correct response:
• Offer the child small feedings several times a day.
Explanation:
Remediation:
Question 5 See full question
A client hospitalized for treatment of a pulmonary embolism develops respiratoryalkalosis.
Which clinical findings commonly accompany respiratory alkalosis?
You Selected:
• Light-headedness or paresthesia
Correct response:
• Light-headedness or paresthesia
Explanation:
Remediation:
Question 6 See full question
A young adult is admitted to the emergency department after an automobile accident. The client
has severe pain in the right chest from contact with the steering wheel. Whatshould the nurse do
first?
You Selected:
• Reduce the client's anxiety.
Correct response:
• Maintain adequate oxygenation.
Explanation:
Remediation:
,Question 7 See full question
The nurse is caring for a client receiving morphine in an intravenous infusion using a patient-
controlled anesthesia pump (PCA) for relief of postoperative pain. On assessment, the client’s
vital signs are as follows: heart rate, 84 bpm; respirations, 8 breaths/min; blood pressure 104/56
mm Hg; and oxygen saturation of 88% on room air.What should the nurse do first
You Selected:
• Stop the infusion of morphine.
Correct response:
• Assist the client to sit and stimulate coughing/deep breathing.
Explanation:
Remediation:
Question 8 See full question
A client has had a left chest tube in place for several days. The nurse assesses the client and
notes that there is no bubbling in the water seal chamber. Auscultation of theleft lower lung
reveals vesicular breath sounds. What is the most appropriate action bythe nurse?
You Selected:
• Further assess the client for reinflation of the lung.
Correct response:
• Further assess the client for reinflation of the lung.
Explanation:
Remediation:
Question 9 See full question
A client with septic shock has continued to deteriorate and has become unresponsive. The nurse
has inserted an intravenous line and an oral airway. Which of the following isthe highest priority
for the nurse at this time?
You Selected:
• Confirm the placement of the oral airway.
Correct response:
• Confirm the placement of the oral airway.
, Explanation:
Remediation:
Question 10 See full question
A child is being seen in the emergency department for reports of severe sore throat, trouble
swallowing, and fever. The child has swollen cervical lymph nodes and a fiery red pharynx on
examination. Which of the following assessment findings below shouldbe reported immediately
to the healthcare provider?
You Selected:
• Drooling and not swallowing
Correct response:
• Drooling and not swallowing
Explanation:
Remediation:
Answer Key
Question 1 See full question
A client is breathing 40 breaths/minute. He is diaphoretic and confused. Which nursingdiagnosis
should be the priority for the client at this time?
You Selected:
• Impaired gas exchange
Correct response:
• Impaired gas exchange
Explanation:
Remediation:
Question 2 See full question
A client brought by ambulance to the emergency department after taking an overdose ofbarbiturates is
comatose. The nurse should assess the client for:
You Selected:
Answer Key
Question 1 See full question
Which practice should a nurse recommend to a client who has had a cesarean birth?
You Selected:
• Coughing and deep-breathing exercises
Correct response:
• Coughing and deep-breathing exercises
Explanation:
Remediation:
Question 2 See full question
A neonate born at 40 weeks' gestation admitted to the nursery is found to be hypoglycemic. At 4
hours of age, the neonate appears pale and his pulse oximeter isreading 75% on room air. The
nurse should:
You Selected:
• provide supplemental oxygen
Correct response:
• provide supplemental oxygen
Explanation:
Remediation:
Question 3 See full question
During the first feeding, the nurse observes that the neonate becomes cyanotic aftergagging on
mucus. What should the nurse do first?
You Selected:
• Raise the neonate's head and pat the back gently.
Correct response:
• Clear the neonate's airway with suction or gravity.
Explanation:
, Remediation:
Question 4 See full question
A preschool child immobilized in a hip spica cast has trouble breathing after meals. Which action
would be best?
You Selected:
• Encourage the child to drink more between meals.
Correct response:
• Offer the child small feedings several times a day.
Explanation:
Remediation:
Question 5 See full question
A client hospitalized for treatment of a pulmonary embolism develops respiratoryalkalosis.
Which clinical findings commonly accompany respiratory alkalosis?
You Selected:
• Light-headedness or paresthesia
Correct response:
• Light-headedness or paresthesia
Explanation:
Remediation:
Question 6 See full question
A young adult is admitted to the emergency department after an automobile accident. The client
has severe pain in the right chest from contact with the steering wheel. Whatshould the nurse do
first?
You Selected:
• Reduce the client's anxiety.
Correct response:
• Maintain adequate oxygenation.
Explanation:
Remediation:
,Question 7 See full question
The nurse is caring for a client receiving morphine in an intravenous infusion using a patient-
controlled anesthesia pump (PCA) for relief of postoperative pain. On assessment, the client’s
vital signs are as follows: heart rate, 84 bpm; respirations, 8 breaths/min; blood pressure 104/56
mm Hg; and oxygen saturation of 88% on room air.What should the nurse do first
You Selected:
• Stop the infusion of morphine.
Correct response:
• Assist the client to sit and stimulate coughing/deep breathing.
Explanation:
Remediation:
Question 8 See full question
A client has had a left chest tube in place for several days. The nurse assesses the client and
notes that there is no bubbling in the water seal chamber. Auscultation of theleft lower lung
reveals vesicular breath sounds. What is the most appropriate action bythe nurse?
You Selected:
• Further assess the client for reinflation of the lung.
Correct response:
• Further assess the client for reinflation of the lung.
Explanation:
Remediation:
Question 9 See full question
A client with septic shock has continued to deteriorate and has become unresponsive. The nurse
has inserted an intravenous line and an oral airway. Which of the following isthe highest priority
for the nurse at this time?
You Selected:
• Confirm the placement of the oral airway.
Correct response:
• Confirm the placement of the oral airway.
, Explanation:
Remediation:
Question 10 See full question
A child is being seen in the emergency department for reports of severe sore throat, trouble
swallowing, and fever. The child has swollen cervical lymph nodes and a fiery red pharynx on
examination. Which of the following assessment findings below shouldbe reported immediately
to the healthcare provider?
You Selected:
• Drooling and not swallowing
Correct response:
• Drooling and not swallowing
Explanation:
Remediation:
Answer Key
Question 1 See full question
A client is breathing 40 breaths/minute. He is diaphoretic and confused. Which nursingdiagnosis
should be the priority for the client at this time?
You Selected:
• Impaired gas exchange
Correct response:
• Impaired gas exchange
Explanation:
Remediation:
Question 2 See full question
A client brought by ambulance to the emergency department after taking an overdose ofbarbiturates is
comatose. The nurse should assess the client for:
You Selected:
