NURS 525 OXYGENATION TEST BANK QUESTIONS
The nurse recognizes that which pathophysiologic changes are occurring when caring
for the client with respiratory acidosis? Select all that apply.
A) Increased CO2
B) Vasoconstriction
C) Decreased O2
D) Decreased intracranial pressure (ICP)
E) Increased pulse rate - Answer -A C E
The nurse is providing care to a client diagnosed with chronic obstructive pulmonary
disease (COPD). Which clinical manifestations are the direct result of altered perfusion?
Select all that apply.
A) Bounding pulse
B) Pink nail beds
C) Cyanosis
D) Confusion
E) Wheezing - Answer -C D
The nurse is providing care to an adult client with a long history of chronic obstructive
pulmonary disease (COPD). The client is admitted to the intensive care unit with a
pneumothorax. Which interventions are appropriate for this client? Select all that apply.
A) Elevate head of the bed
B) Administer a high rate of oxygen by nasal cannula
C) Prepare for a chest tube insertion
D) Administer prescribed antihypertensive medications
E) Administer intravenous caffeine per order - Answer -A C
When auscultating the lungs of a client experiencing dyspnea, the nurse hears a low-
pitched sound that is continuous throughout inspiration. What does this lung sound
indicate to the nurse?
A) Narrow bronchi
B) Narrow trachea passages
C) Blocked large airway passages
D) Inflamed pleural surfaces - Answer -C
The nurse is reviewing the results of laboratory tests conducted on a client admitted
with an alteration in respiratory function. Which laboratory finding would be most
significant for this client?
A) Hemoglobin level 14 g/dL
B) Oxygen saturation 96%
C) Serum sodium 140 mg/dL
D) Blood pH 7.32 - Answer -D
,A client with chronic obstructive pulmonary disease (COPD) is prescribed oxygen 24%
2 L/min. Which is the best method to administer oxygen to this client?
A) Face mask
B) Nasal cannula
C) Nonrebreather mask
D) Venturi mask - Answer -B
) The nurse is planning care for a client experiencing dyspnea and a subsequent activity
intolerance. Which action by the nurse is the most appropriate?
A) Encourage strenuous activity.
B) Consult a dietitian for low-calorie meals.
C) Space periods of activity with periods of rest.
D) Encourage dependence with activities of daily living. - Answer -C
The nurse is providing care for a client admitted during an acute exacerbation of
asthma. Which medication does the nurse anticipate to relieve the acute symptoms
exhibited by the client?
A) Inhaled short-acting beta-agonists
B) Oral corticosteroids
C) Inhaled long-acting beta-agonists
D) Oral anticholinergics - Answer -A
The nurse assigned to the newborn nursery is conducting shift assessments. While
assessing one newborn, the nurse notes the respiratory rate is 52 breaths per minute.
Which action by the nurse is appropriate?
A) Notify the healthcare provider of this assessment finding.
B) Obtain an arterial blood gas for further respiratory assessment.
C) Begin monitoring the respiratory rate every 5 minutes.
D) Continue to monitor the newborn per facility policy. - Answer -D
The nurse is conducting an assessment for a client on a medical-surgical unit. Which
findings are indicative of a client who is experiencing tachypnea? Select all that apply.
A) Excessive rapid breathing
B) Chest pain
C) Rapid breathing at rest
D) Shallow breathing
E) Cyanosis - Answer -A C D
The charge nurse is observing a newly licensed nurse conduct an admission
assessment on a client with asthma. Which action by the newly licensed nurse requires
immediate intervention?
A) The newly licensed nurse is observed obtaining the pulse oximetry reading 10
minutes after the client used an albuterol inhaler.
B) The newly licensed nurse is observed continuing to ask the client questions
regarding history while the client demonstrates difficulty breathing and signs of
respiratory impairment.
, C) The newly licensed nurse is observed assessing the client's thoracic wall, skin, and
nail beds.
D) The newly licensed nurse is observed auscultating breath sounds with a stethoscope
- Answer -B
) Which independent nursing interventions are appropriate for a client who is
experiencing an alteration in oxygenation? Select all that apply.
A) Encouraging deep breathing exercises
B) Assisting with positioning
C) Providing suctioning
D) Prescribing bronchodilators
E) Monitoring activity intolerance - Answer -A B C E
The nurse is providing care to a client with arterial blood gas analysis as follows: PaO2
of 82, PaCO2 of 49, HCO3 of 26, and pH of 7.31. Which assessment by the nurse is
correct?
A) Respiratory acidosis
B) Respiratory alkalosis
C) Metabolic alkalosis
D) Metabolic acidosis - Answer -A
While performing nasotracheal suctioning, the nurse notes the older adult client with an
alteration in oxygenation is moving the head around and pulling at the nurse's hand to
remove the suction catheter. Which actions by the nurse are appropriate? Select all that
apply.
A) Remove the suction catheter
B) Lower the head of the bed
C) Decrease the suction pressure
D) Apply restraints to the client's arms and legs
E) Hyperoxygenate the client - Answer -A C E
The structure of the respiratory system that serves as the site of gas exchange is the
A) macrophage.
B) bronchi.
C) alveoli.
D) bronchiole. - Answer -C
Vaccinations can help promote healthy oxygenation by
A) reducing the transmission of preventable diseases.
B) increasing the exchange of oxygen for carbon dioxide in the lungs.
C) promoting adequate blood circulation to organs and tissues.
D) preventing all respiratory infections - Answer -A
) Which clinical manifestation does the nurse correctly attribute to hypoxia in a client
with acute respiratory distress syndrome (ARDS)?
A) Fluid imbalance
The nurse recognizes that which pathophysiologic changes are occurring when caring
for the client with respiratory acidosis? Select all that apply.
A) Increased CO2
B) Vasoconstriction
C) Decreased O2
D) Decreased intracranial pressure (ICP)
E) Increased pulse rate - Answer -A C E
The nurse is providing care to a client diagnosed with chronic obstructive pulmonary
disease (COPD). Which clinical manifestations are the direct result of altered perfusion?
Select all that apply.
A) Bounding pulse
B) Pink nail beds
C) Cyanosis
D) Confusion
E) Wheezing - Answer -C D
The nurse is providing care to an adult client with a long history of chronic obstructive
pulmonary disease (COPD). The client is admitted to the intensive care unit with a
pneumothorax. Which interventions are appropriate for this client? Select all that apply.
A) Elevate head of the bed
B) Administer a high rate of oxygen by nasal cannula
C) Prepare for a chest tube insertion
D) Administer prescribed antihypertensive medications
E) Administer intravenous caffeine per order - Answer -A C
When auscultating the lungs of a client experiencing dyspnea, the nurse hears a low-
pitched sound that is continuous throughout inspiration. What does this lung sound
indicate to the nurse?
A) Narrow bronchi
B) Narrow trachea passages
C) Blocked large airway passages
D) Inflamed pleural surfaces - Answer -C
The nurse is reviewing the results of laboratory tests conducted on a client admitted
with an alteration in respiratory function. Which laboratory finding would be most
significant for this client?
A) Hemoglobin level 14 g/dL
B) Oxygen saturation 96%
C) Serum sodium 140 mg/dL
D) Blood pH 7.32 - Answer -D
,A client with chronic obstructive pulmonary disease (COPD) is prescribed oxygen 24%
2 L/min. Which is the best method to administer oxygen to this client?
A) Face mask
B) Nasal cannula
C) Nonrebreather mask
D) Venturi mask - Answer -B
) The nurse is planning care for a client experiencing dyspnea and a subsequent activity
intolerance. Which action by the nurse is the most appropriate?
A) Encourage strenuous activity.
B) Consult a dietitian for low-calorie meals.
C) Space periods of activity with periods of rest.
D) Encourage dependence with activities of daily living. - Answer -C
The nurse is providing care for a client admitted during an acute exacerbation of
asthma. Which medication does the nurse anticipate to relieve the acute symptoms
exhibited by the client?
A) Inhaled short-acting beta-agonists
B) Oral corticosteroids
C) Inhaled long-acting beta-agonists
D) Oral anticholinergics - Answer -A
The nurse assigned to the newborn nursery is conducting shift assessments. While
assessing one newborn, the nurse notes the respiratory rate is 52 breaths per minute.
Which action by the nurse is appropriate?
A) Notify the healthcare provider of this assessment finding.
B) Obtain an arterial blood gas for further respiratory assessment.
C) Begin monitoring the respiratory rate every 5 minutes.
D) Continue to monitor the newborn per facility policy. - Answer -D
The nurse is conducting an assessment for a client on a medical-surgical unit. Which
findings are indicative of a client who is experiencing tachypnea? Select all that apply.
A) Excessive rapid breathing
B) Chest pain
C) Rapid breathing at rest
D) Shallow breathing
E) Cyanosis - Answer -A C D
The charge nurse is observing a newly licensed nurse conduct an admission
assessment on a client with asthma. Which action by the newly licensed nurse requires
immediate intervention?
A) The newly licensed nurse is observed obtaining the pulse oximetry reading 10
minutes after the client used an albuterol inhaler.
B) The newly licensed nurse is observed continuing to ask the client questions
regarding history while the client demonstrates difficulty breathing and signs of
respiratory impairment.
, C) The newly licensed nurse is observed assessing the client's thoracic wall, skin, and
nail beds.
D) The newly licensed nurse is observed auscultating breath sounds with a stethoscope
- Answer -B
) Which independent nursing interventions are appropriate for a client who is
experiencing an alteration in oxygenation? Select all that apply.
A) Encouraging deep breathing exercises
B) Assisting with positioning
C) Providing suctioning
D) Prescribing bronchodilators
E) Monitoring activity intolerance - Answer -A B C E
The nurse is providing care to a client with arterial blood gas analysis as follows: PaO2
of 82, PaCO2 of 49, HCO3 of 26, and pH of 7.31. Which assessment by the nurse is
correct?
A) Respiratory acidosis
B) Respiratory alkalosis
C) Metabolic alkalosis
D) Metabolic acidosis - Answer -A
While performing nasotracheal suctioning, the nurse notes the older adult client with an
alteration in oxygenation is moving the head around and pulling at the nurse's hand to
remove the suction catheter. Which actions by the nurse are appropriate? Select all that
apply.
A) Remove the suction catheter
B) Lower the head of the bed
C) Decrease the suction pressure
D) Apply restraints to the client's arms and legs
E) Hyperoxygenate the client - Answer -A C E
The structure of the respiratory system that serves as the site of gas exchange is the
A) macrophage.
B) bronchi.
C) alveoli.
D) bronchiole. - Answer -C
Vaccinations can help promote healthy oxygenation by
A) reducing the transmission of preventable diseases.
B) increasing the exchange of oxygen for carbon dioxide in the lungs.
C) promoting adequate blood circulation to organs and tissues.
D) preventing all respiratory infections - Answer -A
) Which clinical manifestation does the nurse correctly attribute to hypoxia in a client
with acute respiratory distress syndrome (ARDS)?
A) Fluid imbalance
