assessment Basic Fundamental NClex
practice questions
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 - Correct Answers ✅B
- The nurse should identify that ringing in the ears, as well as
headache, disorientation, and muscle twitching can indicate
oxygen toxicity.
A nurse is assessing a client who has COPD. The nurse should
identify that which of the following is an expected finding?
a. Jugular vein distension
b. Clubbing of the fingers
c. Heart murmur
d. Paradoxical breathing - Correct Answers ✅B
- The nurse should identify that clubbing of the fingers is an
expected finding for a client who has chronic pulmonary
disease, such as COPD
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?
, Gas Exchange and oxygenation
assessment Basic Fundamental NClex
practice questions
a. Regurgitation
b. Stenosis
c. Muscle atrophy
d. Hypotension - Correct Answers ✅B
- The nurse should expect a client who has heart disease and
a narrowed valve to have stenosis. Stenosis is a narrowing or
stiffening of the heart valve that causes backflow of the
blood.
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 use?
a. Nasal cannula
b. Nonrebreather mask
c. Partial rebreather mask
d. Simple face mask - Correct Answers ✅A
- The nurse should plan to use a nasal cannula because
oxygen via nasal cannula can be delivered at low
concentrations of 1 to 4 L/min.
A nurse is auscultating a clients heart sounds and hears a
low-pitched whooshing or blowing sound over the apex of the
heart. The nurse should identify that this indicates which of
the following ?
a. Tachycardia