Assessment 2.0 Questions and Answers
| Latest Version | 2025/2026 | Correct &
Verified
What skin change occurs in clients with chronic hypoxia?
✔✔ Clubbing of fingers
What nursing action promotes gas exchange in a client with pneumonia?
✔✔ Encouraging deep breathing and coughing exercises
What is the normal range for oxygen saturation (SpO₂) in a healthy client?
✔✔ 95% to 100%
What is a critical intervention for a client showing signs of hypoxia?
✔✔ Administer supplemental oxygen
What finding on inspection suggests respiratory distress?
✔✔ Use of accessory muscles during breathing
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,Why does tripod positioning help a client with severe dyspnea?
✔✔ It improves lung expansion
What is a common early sign of impaired gas exchange?
✔✔ Restlessness
What finding suggests poor oxygenation in a client's extremities?
✔✔ Cyanosis of fingers or toes
Which laboratory test provides the most direct information about gas exchange?
✔✔ Arterial blood gas (ABG) analysis
What does an SpO₂ reading of 92% indicate for a healthy adult?
✔✔ Mild hypoxemia
What respiratory rate indicates tachypnea in an adult?
✔✔ Greater than 20 breaths per minute
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, What physical position can improve gas exchange during respiratory distress?
✔✔ High Fowler’s position
What assessment technique helps evaluate ventilation in the lungs?
✔✔ Auscultation of breath sounds
What sound heard on auscultation suggests airway obstruction?
✔✔ Wheezing
What clinical sign often accompanies hypoxemia?
✔✔ Increased respiratory rate
What symptom would a client report if experiencing impaired gas exchange?
✔✔ Shortness of breath
What should a nurse assess first in a client with suspected oxygenation issues?
✔✔ Airway patency
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