NR 224 Exam 2 Chamberlain 2025 With
100% Accurate Answers
1. A nurse is assessing a client who has an acute respiratory
infection, increasing the risk for hypoxemia. Which of the
following findings are early indications that should alert the
nurse that the client is developing hypoxia? (Select all that
apply.)
A. Restlessness
B. Tachypnea
C. Bradycardia
D. Confusion
E. Hypertension - Accurate answers A. Restlessness
B. Tachypnea
D. Confusion
E. Hypertension
2. A provider is discharging a client who has a prescription for
home oxygen therapy via nasal cannula. Client and family
teaching by the nurse should include which of the following
instructions? (Select all that apply.)
A. Apply petroleum jelly around and inside the nares.
,B. Remove the nasal cannula during mealtimes.
C. Check the position of the cannula frequently.
D. Report any nausea or difficulty breathing.
E. Post "No Smoking" signs in prominent locations - Accurate
answers C. Check the position of the cannula frequently.
D. Report any nausea or difficulty breathing.
E. Post "No Smoking" signs in prominent locations
3. A nurse is caring for a client who is having difficulty
breathing. The client is lying in bed and is already receiving
oxygen therapy via nasal cannula. Which of the following
interventions is the nurse's priority?
A. Increase the oxygen flow.
B. Assist the client to Fowler's position.
C. Promote removal of pulmonary secretions.
D. Obtain a specimen for arterial blood gases - Accurate
answers B. Assist the client to Fowler's position.
4. A nurse is preparing to perform endotracheal suctioning for a
client. The nurse should follow which of the following
guidelines? (Select all that apply.)
A. Apply suction while withdrawing the catheter.
B. Perform suctioning on a routine basis every 2 to 3 hr.
C. Maintain medical asepsis during suctioning.
D. Use a new catheter for each suctioning attempt.
,E. Apply suction for 10 to 15 seconds. - Accurate answers
A. Apply suction while withdrawing the catheter.
D. Use a new catheter for each suctioning attempt.
E. Apply suction for 10 to 15 seconds.
5. A nurse is caring for a client who has a tracheostomy. Which
of the following actions should the nurse take when providing
tracheostomy care? (Select all that apply.)
A. Apply the oxygen source loosely if the SpO2 decreases
during the procedure.
B. Use surgical asepsis to remove and clean the inner cannula.
C. Clean the outer cannula surfaces in a circular motion from the
stoma site outward.
D. Replace the tracheostomy ties with new ties.
E. Cut a slit in gauze squares to place beneath the tube holder. -
Accurate answers A. Apply the oxygen source loosely if the
SpO2 decreases during the procedure.
B. Use surgical asepsis to remove and clean the inner cannula.
C. Clean the outer cannula surfaces in a circular motion from the
stoma site outward.
1. A nurse is teaching a client who reports stress urinary
incontinence. Which of the following instructions should the
nurse include? (Select all that apply.)
A. Limit total daily fluid intake.
B. Decrease or avoid caffeine.
, C. Take calcium supplements.
D. Avoid drinking alcohol.
E. Use the Credé maneuver - Accurate answers B.
Decrease or avoid caffeine.
D. Avoid drinking alcohol.
2. A client who has an indwelling catheter reports a need to
urinate. Which of the following actions should the nurse take?
A. Check to see whether the catheter is patent.
B. Reassure the client that it is not possible for them to urinate.
C. Recatheterize the bladder with a larger-gauge catheter.
D. Collect a urine specimen for analysis. - Accurate answers
A. Check to see whether the catheter is patent.
A clogged or kinked catheter causes the bladder to fill and
stimulates the need to urinate.
3. A nurse is caring for a client who has a prescription for a
24-hr urine collection. Which of the following actions should the
nurse take?
A. Discard the first voiding.
B. Keep the urine in a single container at room temperature.
C. Dispose of the last voiding.
100% Accurate Answers
1. A nurse is assessing a client who has an acute respiratory
infection, increasing the risk for hypoxemia. Which of the
following findings are early indications that should alert the
nurse that the client is developing hypoxia? (Select all that
apply.)
A. Restlessness
B. Tachypnea
C. Bradycardia
D. Confusion
E. Hypertension - Accurate answers A. Restlessness
B. Tachypnea
D. Confusion
E. Hypertension
2. A provider is discharging a client who has a prescription for
home oxygen therapy via nasal cannula. Client and family
teaching by the nurse should include which of the following
instructions? (Select all that apply.)
A. Apply petroleum jelly around and inside the nares.
,B. Remove the nasal cannula during mealtimes.
C. Check the position of the cannula frequently.
D. Report any nausea or difficulty breathing.
E. Post "No Smoking" signs in prominent locations - Accurate
answers C. Check the position of the cannula frequently.
D. Report any nausea or difficulty breathing.
E. Post "No Smoking" signs in prominent locations
3. A nurse is caring for a client who is having difficulty
breathing. The client is lying in bed and is already receiving
oxygen therapy via nasal cannula. Which of the following
interventions is the nurse's priority?
A. Increase the oxygen flow.
B. Assist the client to Fowler's position.
C. Promote removal of pulmonary secretions.
D. Obtain a specimen for arterial blood gases - Accurate
answers B. Assist the client to Fowler's position.
4. A nurse is preparing to perform endotracheal suctioning for a
client. The nurse should follow which of the following
guidelines? (Select all that apply.)
A. Apply suction while withdrawing the catheter.
B. Perform suctioning on a routine basis every 2 to 3 hr.
C. Maintain medical asepsis during suctioning.
D. Use a new catheter for each suctioning attempt.
,E. Apply suction for 10 to 15 seconds. - Accurate answers
A. Apply suction while withdrawing the catheter.
D. Use a new catheter for each suctioning attempt.
E. Apply suction for 10 to 15 seconds.
5. A nurse is caring for a client who has a tracheostomy. Which
of the following actions should the nurse take when providing
tracheostomy care? (Select all that apply.)
A. Apply the oxygen source loosely if the SpO2 decreases
during the procedure.
B. Use surgical asepsis to remove and clean the inner cannula.
C. Clean the outer cannula surfaces in a circular motion from the
stoma site outward.
D. Replace the tracheostomy ties with new ties.
E. Cut a slit in gauze squares to place beneath the tube holder. -
Accurate answers A. Apply the oxygen source loosely if the
SpO2 decreases during the procedure.
B. Use surgical asepsis to remove and clean the inner cannula.
C. Clean the outer cannula surfaces in a circular motion from the
stoma site outward.
1. A nurse is teaching a client who reports stress urinary
incontinence. Which of the following instructions should the
nurse include? (Select all that apply.)
A. Limit total daily fluid intake.
B. Decrease or avoid caffeine.
, C. Take calcium supplements.
D. Avoid drinking alcohol.
E. Use the Credé maneuver - Accurate answers B.
Decrease or avoid caffeine.
D. Avoid drinking alcohol.
2. A client who has an indwelling catheter reports a need to
urinate. Which of the following actions should the nurse take?
A. Check to see whether the catheter is patent.
B. Reassure the client that it is not possible for them to urinate.
C. Recatheterize the bladder with a larger-gauge catheter.
D. Collect a urine specimen for analysis. - Accurate answers
A. Check to see whether the catheter is patent.
A clogged or kinked catheter causes the bladder to fill and
stimulates the need to urinate.
3. A nurse is caring for a client who has a prescription for a
24-hr urine collection. Which of the following actions should the
nurse take?
A. Discard the first voiding.
B. Keep the urine in a single container at room temperature.
C. Dispose of the last voiding.
