LATEST UPDATE 2025/2026
A patient diagnosed with chronic obstructive pulmonary disease (COPD) is on oxygen therapy at
3 L per nasal cannula. Which assessment finding should alert the nurse to a potential problem
with this patient?
A-Respirator rate of 26
B-Low carbon dioxide levels
C-Arterial oxygen saturation level of 99%
D-Lower oxygen saturation level sat night than during the day - Answers A
A patient with pneumonia is receiving supplemental oxygen. Which assessment finding(s) by
the nurse should be reported as an early indication of hypoxia?
A-Cyanosis around the lips and oral mucosa
B-Anxiety and restlessness
C-Decrease in the level of consciousness
D-Decreased blood pressure and respiratory rate - Answers B
A patient with COPD has carbon dioxide retention and is ordered oxygen therapy. The nurse
anticipates the use of which oxygen delivery system?
A-Face tent
B-Face mask
C-Nasal cannula
D-Nonrebreathing mask. - Answers C
The nurse is caring for several patients receiving oxygen by various delivery systems. Which
assessment finding by the nurse indicates proper use for the oxygen devices?
A-No mist is noted in the face tent.
, B-The reservoir of the rebreathing mask collapse on inhalation.
C-The flow rate is between 1 and 6 L/min for a nasal cannula.
D-The flow rate for an oxygen hood is set at 3 L/min. - Answers C
A patient in respiratory distress enters the emergency department. The patient denies a history
of COPD. The nurse anticipates an order for oxygen delivered by which method to achieve the
highest possible concentration of oxygen?
A-Simple face mask at 15 L/min
B-Nonbreathing face mask at 15 L/min
C-Venturi mask at 15 L/min
D-Oxygen tent at 15 L/min - Answers B
A patient with a nasal canula at 5 L/min has skin irritation around the nares and complains of a
dry mouth and nose. Which action by the student nurse should be questioned by the nursing
instructor?
A-Using humidification
B-Applying petroleum-based gel to the nares
C-Providing frequent oral care
D-Asking the physic8ian for an order for sterile nasal saline - Answers B
A patient with a tracheostomy tube has an order for oxygen. Which action by the nurse is
appropriate?
A-Apply sterile gloves to connect the oxygen to the tracheostomy tube.
B-Check the oxygen tubing frequently to make sure water is present in the tubing.
C-Attach the T tube to a humidified oxygen source.
D-Monitor the response to oxygen with hourly arterial blood gas levels. - Answers C
The nurse is caring for several patients postoperatively following abdominal surgery. Which
patient will benefit the last form the use of incentive spirometry?