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“OXYGENATION EXAM 1” EXAM 2025 – 2026 SOLVED QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION) WELL REVISED AND HIGHLY RECOMMENDALE 100% GUARANTEE PASS

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“OXYGENATION EXAM 1” EXAM 2025 – 2026 SOLVED QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION) WELL REVISED AND HIGHLY RECOMMENDALE 100% GUARANTEE PASS

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MED SURG NCLEX
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MED SURG NCLEX











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Institution
MED SURG NCLEX
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MED SURG NCLEX

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Written in
2025/2026
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Page 1 of 94


“OXYGENATION EXAM 1” EXAM 2025 – 2026 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION) WELL REVISED
AND HIGHLY RECOMMENDALE 100% GUARANTEE PASS




Oxygenation Exam 1




A nurse is caring for a client who asks how albuterol helps his breathing.
Which of the following responses should the nurse make? SATA


A. The medication will stimulate the flow of mucus
B. The medication will prevent wheezing
C. The medication will open the airways
D. The medication will reduce inflammation
E. The medication will decrease coughing episodes
B, C, E


Expectorants stimulate the flow of mucus. Albuterol does not reduce inflammation.
Coughing is often an early indicator of bronchospasm. Albuterol provides a rapid
response to relax smooth muscle and reduce bronchoconstriction, which will
decrease coughing
A nurse is providing teaching to a client who has emphysema and a new
prescription for theophylline. Which of the following instructions should the
nurse provide?


A. Consume a high-protein diet
B. Administer the medication with food
C. Avoid caffeine while taking this medication
D. increase fluids to 1 L/day

, Page 2 of 94


C


The nurse should instruct the client that a high-protein diet should be avoided, as it
decreases theophyllines duration of action. The nurse should instruct the client that
theophylline should be administered with 8 oz of water if GI upset occurs. It should
not be administered with food. The nurse should instruct the client that caffeine
should be avoided because it can increase central nervous system stimulation. The
nurse should instruct the client to increase fluid intake to 2L/day to decrease the
thickness of mucous secretions related to emphysema.
A nurse is preoviding discharge teaching to a client who has asthma and new
prescriptions for cromolyn and albuterol, both by nebulizer. Which of the
following statements by the client indicates an understanding of the teaching?


A. "If my breathing begins to feel tight, I will use the cromolyn immediately."
B. "I will be sure to take the albuterol before taking the cromolyn."
C. "I will use both medications immediately after exercising."
D. "I will administer the medications 10 minutes apart."
B


Cromolyn, a leukotriene modifier, is used for prophylaxis treatment of asthma, not
acute attacks. Alburterol, a short acting bronchodilator, should be used for the
treatment of acute bronchospasms. The client should always use the bronchodilator
prior to using the leukotriene modifier because it allows the airways to be opened,
ensuring the maximum dose of medication will get to the clients lungs. Both albuterol
and cromolyn are used to prevent exercuse induced bronchospasm, but
administration should be made prior to exercising. Inhalations of different
medications should be administered 2 to 5 minutes apart.
A nurse in an urgent care center is caring for a client who is having an acute
asthma exacerbation. Which of the following actions is the nurses highest
priority?


A. Initiating oxygen therapy
B. Providing immediate rest for the client

, Page 3 of 94


C. Positioning the client in high-Fowlers
D. Administering a nebulized beta-adrenergic
D


Clients who have an acute asthma exacerbation may require oxygen therapy, but
this is not the highest priority. Adequate rest is essential for the clients recovery, but
will not relieve the clients dyspnea and wheezing, so it is not the top priority.
Although not the highest priority when a client has an acute exacerbation, it is
important to position in High fowlers to manage dyspnea. This position promotes
chest expansion and optimal gas exchange. The greatest risk to the clients safety is
airway obstruction. Beta-adrenergic medications act as bronchodilators. They
provide relief of airflow obstruction by relaxing bronchiolar smooth muscle and are
the initial priority.
A nurse is teaching a client about taking an expectorant to treat a cough. The
nurse should explain that this type of medication has which of the following
actions?


A. Reduces inflammation
B. Suppresses the urge to cough
C. Dries mucous membranes
D. Stimulates secretions
D


Glucocorticoids reduce inflammation. Antitussives suppress the cough stimulus.
Anticholinergic medications dry mucous membranes and reduce secretions.
Expectorants act by increasing secretions to improve a coughs productivity.
A nurse is caring for a client who has asthma and is taking fluticasone. The
nurse should monitor the client for which of the following adverse effects?


A. Hypoglycemia
B. Hypertension
C. Polyuria
D. Oral Candidiasis

, Page 4 of 94


D


Fluticasone, a corticosteroid, can cause hyperglycemia. Fluticasone does not cause
hypertension. Fluticasone does not cause polyuria. Fluticasone can cause oral
candidiasis, or thrush, therefore the client should rinse her mouth with water
A nurse is assessing a client who has pulmonary tuberculosis. Which of the
following findings should the nurse expect?


A. Lethargy
B. High-grade fever
C. Weight gain
D. Dry cough
A


Manifestations of pulmonary tuberculosis include lethargy, and fatigue. A low-grade
fever is a manifestation of pulmonary tuberculosis. Weight loss is a manifestation of
pulmonary TB. A productive cough is a manifestation of pulmonary TB. The client
who has pulmonary TB often has purulent sputum streaked with blood.
A nurse is teaching a client who has emphysema about self-management
strategies. Which of the following statements by the client indicates an
understanding of the teaching?


A. "I will inhale slowly through pursed-lips to help me breathe better."
B. "I will avoid getting a flu shot."
C. "I will follow a daily diet high in calories and protein."
D. "I will lie on my stomach to practice abdominal breathing every day."
C


The client should first inhale through the nose, then exhale through pursed lips. The
client is at risk for respiratory infections. Therfore, the client should avoid crowds and
should get an annual vaccination against influenza. Clients who have emphysema
have greater than usual nutritional requirement for calories and protein and often
need nutritional supplements between meals. The client should practice abdominal
breathing exercises daily while lying on his back.
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