NSG 232 MOCK EXAM QUESTIONS AND
100% CORECT ANSWERS!!
In a client with amyotrophic lateral sclerosis (ALS) and respiratory distress, which finding
is the earliest sign of reduced oxygenation?
increased restlessness
A 39-year-old multigravid client at 39 weeks' gestation admitted to the hospital in active
labor has been diagnosed with class II heart disease. Which measure will the nurse
encourage to ensure cardiac emptying and adequate oxygenation during labor?
Remain in a side-lying position with the head elevated.
The cyanosis that accompanies bacterial pneumonia is primarily caused by which of the
following?
Decreased oxygenation of the blood.
A child with asthma has a heart rate of 160 bpm and a respiratory rate of 36
breaths/minute. The child appears restless and anxious and is given albuterol via nebulizer.
Which finding would indicate that the nebulizer treatment has been effective?
increase in peak expiratory flow rate
A client with chronic obstructive pulmonary disease (COPD) is intubated and placed on
continuous mechanical ventilation. Which equipment is most important for the nurse to
keep at this client's bedside?
manual resuscitation bag
A nurse is monitoring a client recovering from moderate sedation that was administered
during a colonoscopy. Which finding requires the nurse's immediate attention?
oxygen saturation (SaO2) of 89%
The nurse is assessing for oxygenation in a client with dark skin. Where will oxygenation
be most evident on this client?
, buccal mucosa
A client is admitted to the hospital with a diagnosis of a pulmonary embolism. Which
problem should the nurse address first?
impaired gas exchange
A client is being treated for left lower lobe pneumonia. In what position should the nurse
position the toddler to maximize oxygenation?
right lateral
A nurse is caring for a client with status asthmaticus. Which medication should the nurse
prepare to administer?
an inhaled beta2-adrenergic agonist
A nurse assigned to a client with emphysema is providing shift report. Which nursing
interventions would be appropriate to include? Select all that apply.
Teach diaphragmatic, pursed-lip breathing.
Administer low-flow oxygen as needed.
Encourage alternating client activity with rest periods.
Teach the use of postural drainage and chest physiotherapy.
A client is receiving moderate sedation while undergoing bronchoscopy. Which assessment
finding should the nurse attend to immediately?
oxygen saturation of 90%
A client in acute respiratory distress is brought to the emergency department. After
endotracheal (ET) intubation and initiation of mechanical ventilation, the client is
transferred to the intensive care unit. Before suctioning the ET tube, the nurse
hyperventilates and hyperoxygenates the client. What is the rationale for these
interventions?
100% CORECT ANSWERS!!
In a client with amyotrophic lateral sclerosis (ALS) and respiratory distress, which finding
is the earliest sign of reduced oxygenation?
increased restlessness
A 39-year-old multigravid client at 39 weeks' gestation admitted to the hospital in active
labor has been diagnosed with class II heart disease. Which measure will the nurse
encourage to ensure cardiac emptying and adequate oxygenation during labor?
Remain in a side-lying position with the head elevated.
The cyanosis that accompanies bacterial pneumonia is primarily caused by which of the
following?
Decreased oxygenation of the blood.
A child with asthma has a heart rate of 160 bpm and a respiratory rate of 36
breaths/minute. The child appears restless and anxious and is given albuterol via nebulizer.
Which finding would indicate that the nebulizer treatment has been effective?
increase in peak expiratory flow rate
A client with chronic obstructive pulmonary disease (COPD) is intubated and placed on
continuous mechanical ventilation. Which equipment is most important for the nurse to
keep at this client's bedside?
manual resuscitation bag
A nurse is monitoring a client recovering from moderate sedation that was administered
during a colonoscopy. Which finding requires the nurse's immediate attention?
oxygen saturation (SaO2) of 89%
The nurse is assessing for oxygenation in a client with dark skin. Where will oxygenation
be most evident on this client?
, buccal mucosa
A client is admitted to the hospital with a diagnosis of a pulmonary embolism. Which
problem should the nurse address first?
impaired gas exchange
A client is being treated for left lower lobe pneumonia. In what position should the nurse
position the toddler to maximize oxygenation?
right lateral
A nurse is caring for a client with status asthmaticus. Which medication should the nurse
prepare to administer?
an inhaled beta2-adrenergic agonist
A nurse assigned to a client with emphysema is providing shift report. Which nursing
interventions would be appropriate to include? Select all that apply.
Teach diaphragmatic, pursed-lip breathing.
Administer low-flow oxygen as needed.
Encourage alternating client activity with rest periods.
Teach the use of postural drainage and chest physiotherapy.
A client is receiving moderate sedation while undergoing bronchoscopy. Which assessment
finding should the nurse attend to immediately?
oxygen saturation of 90%
A client in acute respiratory distress is brought to the emergency department. After
endotracheal (ET) intubation and initiation of mechanical ventilation, the client is
transferred to the intensive care unit. Before suctioning the ET tube, the nurse
hyperventilates and hyperoxygenates the client. What is the rationale for these
interventions?
