QUESTIONS WITH ANSWERS
1. A nurse is caring for a client who requires 1 L of oxygen. Which of the
following oxygen delivery devices should the nurse expect to us?
a.Nasal cannula
b. Nonrebreather mask
c. Partial rebreather mask
d. Simple face mask
Nasal cannula
2. A nurse is assessing a client who is receiving oxygen therapy. The nurse
should identify that which of the following findings can indicate oxygen
toxicity?
a. Hypertension
b. Ringing in the ears
c. Fever
d. Dilated pupils
3. A nurse caring for a client who has a chest tube. Which of the following
actions should the nurse take?
a. Monitor the client for subcutaneous emphysema.
b. Expect continuous bubbling in the water seal chamber.
, c. Keep the drainage system above the level of the client's chest.
d. Clamp the chest tube tubing when the client ambulates.
Monitor the client for subcutaneous emphysema
4. A nurse is reviewing the medical history of a client who has heart disease and
a narrowed valve. Which of the following findings should the nurse expect?
a. Regurgitation
b Stenosis
c. Muscle atrophy
d. Hypotension
Stenosis
5. A nurse is providing teaching for a client who has a prescription for home
oxygen. Which of the following instructions should the nurse include? select
all that apply
a. Post a "No Smoking" sign inside the home.
b. Attach oxygen containers to a fixed object.
c. Store spare oxygen containers in a closet.
d. Notify the fire department that oxygen is used in the home.
e. Ensure oxygen tubing is no longer than 60 feet in length.
Post a "No smoking" sign inside the home
2. Attach oxygen containers to a fixed object
3. Notify the fire department that oxygen is used in the home
,6. A nurse is explaining the sequence of electrical conduction in the heart to a
newly licensed nurse. What should the nurse include as the correct sequence
of the transmission of electrical impulses?
- AV node
- SA node
- purkinje fibers
- right and left bundle branches
- bundle of his
- SA node
- AV node
- Bundle of His
- Right and left bundle branches
- Purkinje fibers
Ringing in the ears
7. A nurse is suctioning a client's tracheostomy using an open system. Which of
the following actions should the nurse take?
a. Use clean technique to perform the procedure.
b. Apply suction when inserting the catheter.
c. Administer 100% oxygen before the procedure.
d. Suction the tracheostomy for 20 seconds each time.
Administer 100% oxygen before the procedure
, 8. A nurse is teaching a client who has an abdominal incision about coughing
and deep breathing. In which order should the nurse instruct the client to
perform the following steps?
- hold your breath for several seconds
- take a deep breath
- brace the incision with a pillow and try to cough deeply
- exhale slowly
Take a deep breath
2. Hold your breath for several seconds
3. Exhale slowly
4. Brace the incision with a pillow and try to cough deeply
9. A nurse is providing teaching for a client who has a new prescription for an
incentive spirometer. Which of the following instructions should the nurse
include?
a. "Exhale into the incentive spirometer"
b. "Use the incentive spirometer every hour while awake"
c."Hold your breath for 10 seconds when using the incentive spirometer."
d. "Use the incentive spirometer two times each session."
"Use the incentive spirometer every hour while awake."
10. A nurse is planning to measure the cardiac output of a client who had a
myocardial infarction. Which of the following data should the nurse use to
calculate the client's cardiac output?