2026/2027) QUESTION WITH VERIFIED
ANSWER {GRADE A} -OAKLAND
UNIVERSITY
A nurse is caring for a client who is experiencing respiratory distress. Which of the
following early manifestations of hypoxemia should the nurse recognize? (Select all
that apply.)
a. Confusion
b. Pale skin
c. Bradycardia
d. Hypotension
e. Elevated blood pressure - Correct answer b, e
A nurse is caring for a client who is receiving mechanical ventilation via an
endotracheal tube. Which of the following actions should the nurse take?
a. Apply a vest restraint if self-extubation is attempted
,b. Monitor ventilator settings every 8 hr
c. Document tube placement in centimeters at the angle of jaw
d. Assess breath sounds every 4 hr - Correct answer d
A nurse is caring for a client who has dyspnea and will receive oxygen continuously.
Which of the following oxygen devices should the nurse use to deliver a precise
amount of oxygen to the client?
a. Nonrebreather mask
b. Venturi mask
c. Nasal cannula
d. Simple face mask - Correct answer b
A nurse is reviewing the plan of care for a client who is receiving mechanical
ventilation. Which of the following ventilator modes will increase the client's work of
breathing? (Select all that apply.)
a. Assist-control
,b. Synchronized intermittent mandatory ventilation
c. Continuous positive airway pressure
d. Pressure support ventilation
e. Independent lung ventilation - Correct answer b, c, d
A nurse is planning care for a client who is postoperative following a hip arthroplasty.
In the client's medical record, the nurse notes a history of chronic obstructive
pulmonary disease (COPD). Which of the following oxygen-delivery methods should the
nurse plan to use for this client?
a. Simple face mask
b. Nonrebreather mask
c. Bag-valve-mask device
d. Nasal cannula - Correct answer d
A nurse is caring for a client for whom the respiratory therapist has just removed the
endotracheal tube. Which of the following actions should the nurse take first?
, a. Instruct the client to cough
b. Administer oxygen via face mask
c. Evaluate the client for stridor
d. Keep the client in a semi to high-Fowler's position - Correct answer c
A nurse is caring for a client who has a 20-year history of COPD and is receiving
oxygen at 2 L/min via nasal cannula. The client is dyspneic and has an oxygen
saturation via pulse oximetry of 85%. Which of the following actions should the nurse
take?
a. Place a nonrebreather mask on the client and increase the oxygen flow to 3 L/min
b. Prepare the client for possible endotracheal intubation and mechanical ventilation
c. Increase the oxygen flow and request an arterial blood gas determination
d. Position the client supine and administer an antianxiety medication - Correct answer
c