ATI Engage Funds, Physiological -Gas Exchange &
Oxygenation: Questions With Proper Solutions
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Terms in this set (23)
A nurse is assessing a client A. Normal Breathing
who is being discharged.
The nurse notes the client A normal breathing is regular, quiet, and shows no
has regular and quiet manifestations of discomfort
breathing. The nurse should
identify this breathing
pattern as which of the
following?
A. Normal Breathing
B. Kussmaul Breathing
C. Cheyne-Stokes
Breathing
D. Apnea
B. Murmur
A nurse is auscultating a
client's heart sounds and A whooshing or blowing sound indicates a murmur and
hears a low pitched can be low-, medium-, or high-pitched.
whooshing or blowing
sound over the apex of the Gallops are additional heart sounds of S3 or S4 and are
heart. The nurse should often described as sounding like "Ken-tuck-y" or "Ten-
identify that this indicates nes-see." A gallop can indicate aortic stenosis,
which of the following? hypertension, or a history of myocardial infarction.
A. Tachycardia Tachycardia is indicated by a heart rate greater than
B. Murmur 100/min.
C. Gallop
D. Stroke Volume Stroke volume is the amount of blood ejected from the
ventricles during a systolic contraction.
, A. Post a "No Smoking" sign inside the home.
A nurse is providing
B. Attach oxygen containers to a fixed object.
teaching for a client who
D. Notify the fire department that oxygen is used in the
has a prescription for home
home.
oxygen. Which of the
following instructions
A "No Smoking" sign should be posted inside and
should the nurse include?
outside a home where oxygen is in use to reduce the
Select all that apply.
risk of fire.
A. Post a "No Smoking" sign
Oxygen containers should be attached to a fixed object
inside the home.
to keep them from falling over.
B. Attach oxygen
containers to a fixed object.
Oxygen containers should not be stored in a closed
C. Store spare oxygen
space, such as a closet, to reduce the risk of injury.
containers in a closet.
D. Notify the fire
The fire department and the electric company should
department that oxygen is
be notified of oxygen use in the home to ensure client
used in the home.
safety in case of a power outage or a fire.
E. Ensure oxygen tubing is
no longer than 60 feet in
Oxygen tubing should be no longer than 50 feet in
length.
length to reduce the risk of falls from tripping.
C. Obtain the oxygen saturation.
The greatest risk to this client is injury from hypoxia;
A nurse is caring for a client
therefore, the first action the nurse should take is to
who has a history of asthma
obtain the client's oxygen saturation. Obtaining the
and is wheezing. Which of
client's oxygen saturation will assist the nurse in
the following actions
determining the next intervention.
should the nurse take first?
The nurse should check the client's capillary refill to
A. Auscultate the lung
identify manifestations of hypoxia; however, the nurse
sounds.
should take another action first.
B. Document the
respiratory rate.
The nurse should document the client's respiratory rate;
C. Obtain the oxygen
however, the nurse should take another action first.
saturation.
D. Check the capillary refill.
The nurse should auscultate the client's lung sounds to
identify the extent of the wheezing; however, the nurse
should take another action first.
Oxygenation: Questions With Proper Solutions
Save
Terms in this set (23)
A nurse is assessing a client A. Normal Breathing
who is being discharged.
The nurse notes the client A normal breathing is regular, quiet, and shows no
has regular and quiet manifestations of discomfort
breathing. The nurse should
identify this breathing
pattern as which of the
following?
A. Normal Breathing
B. Kussmaul Breathing
C. Cheyne-Stokes
Breathing
D. Apnea
B. Murmur
A nurse is auscultating a
client's heart sounds and A whooshing or blowing sound indicates a murmur and
hears a low pitched can be low-, medium-, or high-pitched.
whooshing or blowing
sound over the apex of the Gallops are additional heart sounds of S3 or S4 and are
heart. The nurse should often described as sounding like "Ken-tuck-y" or "Ten-
identify that this indicates nes-see." A gallop can indicate aortic stenosis,
which of the following? hypertension, or a history of myocardial infarction.
A. Tachycardia Tachycardia is indicated by a heart rate greater than
B. Murmur 100/min.
C. Gallop
D. Stroke Volume Stroke volume is the amount of blood ejected from the
ventricles during a systolic contraction.
, A. Post a "No Smoking" sign inside the home.
A nurse is providing
B. Attach oxygen containers to a fixed object.
teaching for a client who
D. Notify the fire department that oxygen is used in the
has a prescription for home
home.
oxygen. Which of the
following instructions
A "No Smoking" sign should be posted inside and
should the nurse include?
outside a home where oxygen is in use to reduce the
Select all that apply.
risk of fire.
A. Post a "No Smoking" sign
Oxygen containers should be attached to a fixed object
inside the home.
to keep them from falling over.
B. Attach oxygen
containers to a fixed object.
Oxygen containers should not be stored in a closed
C. Store spare oxygen
space, such as a closet, to reduce the risk of injury.
containers in a closet.
D. Notify the fire
The fire department and the electric company should
department that oxygen is
be notified of oxygen use in the home to ensure client
used in the home.
safety in case of a power outage or a fire.
E. Ensure oxygen tubing is
no longer than 60 feet in
Oxygen tubing should be no longer than 50 feet in
length.
length to reduce the risk of falls from tripping.
C. Obtain the oxygen saturation.
The greatest risk to this client is injury from hypoxia;
A nurse is caring for a client
therefore, the first action the nurse should take is to
who has a history of asthma
obtain the client's oxygen saturation. Obtaining the
and is wheezing. Which of
client's oxygen saturation will assist the nurse in
the following actions
determining the next intervention.
should the nurse take first?
The nurse should check the client's capillary refill to
A. Auscultate the lung
identify manifestations of hypoxia; however, the nurse
sounds.
should take another action first.
B. Document the
respiratory rate.
The nurse should document the client's respiratory rate;
C. Obtain the oxygen
however, the nurse should take another action first.
saturation.
D. Check the capillary refill.
The nurse should auscultate the client's lung sounds to
identify the extent of the wheezing; however, the nurse
should take another action first.
