NS660: Oxygenation And Documentation Quiz –
Questions With Confirmed Answers
Which action will the nurse take first after assessing a patient with widening
of the nostrils, restlessness, and stridor?
Offer calm reassurance
Obtain intubation equipment
Take pulse and BP
Notify the rapid response team. Correct Answer - Notify the rapid
response team.
The unlicensed assistive personnel (UAP) tells the nurse that a patient who is
receiving oxygen at a flow rate of 2 L/min by nasal cannula is reporting nasal
passage discomfort. What intervention should the nurse suggest to the UAP to
improve the patient's comfort for this problem?
Humidify the patient's oxygen.
Use a simple face mask instead of a nasal cannula.
Provide the patient with an extra pillow.
Have the patient sit up in a chair at the bedside Correct Answer -
Humidify the patient's oxygen.
The nurse is caring for a patient who has decreased mobility. Which
intervention is a simple and cost-effective method for reducing the risks of
stasis of pulmonary secretions and decreased chest wall expansion?
Antibiotics
Frequent change of position
Oxygen humidification
Chest physiotherapy Correct Answer - Frequent change of position
The client requires oxygen using a face mask but wants to remain as mobile as
possible once he is discharged home. Which intervention by the home health
nurse will best provide the client with maximal mobility?
Arrange for a consultation with a physical therapist for strength training.
Encourage the client to remove the mask occasionally to begin the weaning
process.
Add extra connecting pieces of tubing to the client's existing oxygen setup and
discuss safety.
, Change the face mask to a nasal cannula Correct Answer - Add extra
connecting pieces of tubing to the client's existing oxygen setup and discuss
safety.
Which is the nurse's first intervention for a confused client who is to start
oxygen therapy?
Determine which method of oxygen delivery the client will best tolerate.
Instruct the client about the importance of leaving the oxygen delivery device
on.
Explain to the client that he will not be allowed to smoke while receiving
oxygen.
Monitor the client's ability to tolerate removal of oxygen while eating.
Correct Answer - Determine which method of oxygen delivery the client
will best tolerate.
Which client requires immediate nursing intervention?
Client with shortness of breath
Client with sternal retraction
Client with pulse oximetry reading of 95%
Client with crackles bilaterally Correct Answer - Client with sternal
retraction
Which instruction given by the nurse is appropriate for a patient who has
intermittent episodes of cough accompanied with thick, yellow sputum and
crackles in the lungs? Select all that apply. One, some, or all responses may be
correct.
"Drink plenty of water.
"Walk around as much as you can."
"Place a hot-water bag on your chest."
"Try to spend most of your time in the prone position."
"Perform deep-breathing exercises once every 2 hours." Correct Answer -
"Drink plenty of water.
"Walk around as much as you can."
"Perform deep-breathing exercises once every 2 hours."
Which nursing intervention is most appropriate for preventing atelectasis in
the postoperative patient?
Postural drainage
Questions With Confirmed Answers
Which action will the nurse take first after assessing a patient with widening
of the nostrils, restlessness, and stridor?
Offer calm reassurance
Obtain intubation equipment
Take pulse and BP
Notify the rapid response team. Correct Answer - Notify the rapid
response team.
The unlicensed assistive personnel (UAP) tells the nurse that a patient who is
receiving oxygen at a flow rate of 2 L/min by nasal cannula is reporting nasal
passage discomfort. What intervention should the nurse suggest to the UAP to
improve the patient's comfort for this problem?
Humidify the patient's oxygen.
Use a simple face mask instead of a nasal cannula.
Provide the patient with an extra pillow.
Have the patient sit up in a chair at the bedside Correct Answer -
Humidify the patient's oxygen.
The nurse is caring for a patient who has decreased mobility. Which
intervention is a simple and cost-effective method for reducing the risks of
stasis of pulmonary secretions and decreased chest wall expansion?
Antibiotics
Frequent change of position
Oxygen humidification
Chest physiotherapy Correct Answer - Frequent change of position
The client requires oxygen using a face mask but wants to remain as mobile as
possible once he is discharged home. Which intervention by the home health
nurse will best provide the client with maximal mobility?
Arrange for a consultation with a physical therapist for strength training.
Encourage the client to remove the mask occasionally to begin the weaning
process.
Add extra connecting pieces of tubing to the client's existing oxygen setup and
discuss safety.
, Change the face mask to a nasal cannula Correct Answer - Add extra
connecting pieces of tubing to the client's existing oxygen setup and discuss
safety.
Which is the nurse's first intervention for a confused client who is to start
oxygen therapy?
Determine which method of oxygen delivery the client will best tolerate.
Instruct the client about the importance of leaving the oxygen delivery device
on.
Explain to the client that he will not be allowed to smoke while receiving
oxygen.
Monitor the client's ability to tolerate removal of oxygen while eating.
Correct Answer - Determine which method of oxygen delivery the client
will best tolerate.
Which client requires immediate nursing intervention?
Client with shortness of breath
Client with sternal retraction
Client with pulse oximetry reading of 95%
Client with crackles bilaterally Correct Answer - Client with sternal
retraction
Which instruction given by the nurse is appropriate for a patient who has
intermittent episodes of cough accompanied with thick, yellow sputum and
crackles in the lungs? Select all that apply. One, some, or all responses may be
correct.
"Drink plenty of water.
"Walk around as much as you can."
"Place a hot-water bag on your chest."
"Try to spend most of your time in the prone position."
"Perform deep-breathing exercises once every 2 hours." Correct Answer -
"Drink plenty of water.
"Walk around as much as you can."
"Perform deep-breathing exercises once every 2 hours."
Which nursing intervention is most appropriate for preventing atelectasis in
the postoperative patient?
Postural drainage
