OXYGENATION/PERFUSION NCLEX
EXAM QUESTIONS AND ANSWERS
(VERIFIED AND UPDATED)
The nurse is caring for a male client with a chest tube. If the chest drainage system is
accidentally disconnected, what should the nurse plan to do?
A. Place the end of the chest tube in a container of sterile saline
B. Apply an occlusive dressing and notify the physician.
C. Clamp the chest tube immediately
D. Secure the chest tube with tape - ANS A. Place the end of the chest tube in a container of
sterile saline
For a male client with chronic obstructive pulmonary disease, which nursing intervention would
help maintain a patent airway?
A. Restricting fluid intake to 1,000 ml/day
@2026/2027 ALLRIGHTS RESERVED.
,B. Enforcing absolute bed rest
C. Teaching the client how to perform controlled coughing
D. Administering prescribed sedatives regularly and in large amounts - ANS C. Teaching the
client how to perform controlled coughing
Which of the following is true concerning the physiology of the cardiovascular system?
A. Stimulating the parasympathetic system would cause the heart rate to go up.
B. When a person has heart muscle disease, the heart muscles stretch as far as is necessary to
maintain function.
C. The QRS interval on the electrocardiogram represents the electrical impulses passing
through the ventricles.
D. When stroke volume decreases, there is a resultant decrease in heart rate. - ANS C. The
QRS interval on the electrocardiogram represents the electrical impulses passing through the
ventricles.
The client has emphysema from smoking. During a respiratory system assessment the nurse
anticipates finding:
@2026/2027 ALLRIGHTS RESERVED.
,A. Abnormal palpation signs in the upper thorax
B. Dull sounds on percussion
C. A depressed sternum on inspection
D. Moist breath sounds on auscultation - ANS B. Dull sounds on percussion
A 64-year-old client is seen in the emergency room for palpitations and mild shortness of
breath. The ECG reveals a normal P wave, P-R interval, and QRS complex with a regular rhythm
and rate of 108. The nurse should recognize this cardiac dysrhythmia as:
A. Sinus dysrhythmia
B. Sinus tachycardia
C. Supraventricular tachycardia
D. Ventricular tachycardia - ANS B. Sinus tachycardia
A client recently fractured his spinal cord at the C-3 level and is at great risk for developing
pneumonia primarily because:
@2026/2027 ALLRIGHTS RESERVED.
, A. The resulting paralysis immobilizes him, and secretions will increase in his lungs
B. Innervation to the phrenic nerve is absent, preventing chest expansion
C. The resulting abnormal chest shape disallows efficient ventilatory movement
D. Trauma decreases the ability of his red blood cells to carry oxygen - ANS B. Innervation to
the phrenic nerve is absent, preventing chest expansion
The client has experienced a myocardial infarction damaging the right ventricle. Which of the
following is a likely complication he would experience?
A. Jugular neck vein distention
B. Pulmonary congestion
C. Peripheral edema
D. Liver enlargement - ANS B. Pulmonary congestion
On admitting a client, the nurse finds that there is a history of myocardial ischemia. The most
disconcerting dysrhythmia for electrocardiography to reveal is:
A. Sinus bradycardia
@2026/2027 ALLRIGHTS RESERVED.
EXAM QUESTIONS AND ANSWERS
(VERIFIED AND UPDATED)
The nurse is caring for a male client with a chest tube. If the chest drainage system is
accidentally disconnected, what should the nurse plan to do?
A. Place the end of the chest tube in a container of sterile saline
B. Apply an occlusive dressing and notify the physician.
C. Clamp the chest tube immediately
D. Secure the chest tube with tape - ANS A. Place the end of the chest tube in a container of
sterile saline
For a male client with chronic obstructive pulmonary disease, which nursing intervention would
help maintain a patent airway?
A. Restricting fluid intake to 1,000 ml/day
@2026/2027 ALLRIGHTS RESERVED.
,B. Enforcing absolute bed rest
C. Teaching the client how to perform controlled coughing
D. Administering prescribed sedatives regularly and in large amounts - ANS C. Teaching the
client how to perform controlled coughing
Which of the following is true concerning the physiology of the cardiovascular system?
A. Stimulating the parasympathetic system would cause the heart rate to go up.
B. When a person has heart muscle disease, the heart muscles stretch as far as is necessary to
maintain function.
C. The QRS interval on the electrocardiogram represents the electrical impulses passing
through the ventricles.
D. When stroke volume decreases, there is a resultant decrease in heart rate. - ANS C. The
QRS interval on the electrocardiogram represents the electrical impulses passing through the
ventricles.
The client has emphysema from smoking. During a respiratory system assessment the nurse
anticipates finding:
@2026/2027 ALLRIGHTS RESERVED.
,A. Abnormal palpation signs in the upper thorax
B. Dull sounds on percussion
C. A depressed sternum on inspection
D. Moist breath sounds on auscultation - ANS B. Dull sounds on percussion
A 64-year-old client is seen in the emergency room for palpitations and mild shortness of
breath. The ECG reveals a normal P wave, P-R interval, and QRS complex with a regular rhythm
and rate of 108. The nurse should recognize this cardiac dysrhythmia as:
A. Sinus dysrhythmia
B. Sinus tachycardia
C. Supraventricular tachycardia
D. Ventricular tachycardia - ANS B. Sinus tachycardia
A client recently fractured his spinal cord at the C-3 level and is at great risk for developing
pneumonia primarily because:
@2026/2027 ALLRIGHTS RESERVED.
, A. The resulting paralysis immobilizes him, and secretions will increase in his lungs
B. Innervation to the phrenic nerve is absent, preventing chest expansion
C. The resulting abnormal chest shape disallows efficient ventilatory movement
D. Trauma decreases the ability of his red blood cells to carry oxygen - ANS B. Innervation to
the phrenic nerve is absent, preventing chest expansion
The client has experienced a myocardial infarction damaging the right ventricle. Which of the
following is a likely complication he would experience?
A. Jugular neck vein distention
B. Pulmonary congestion
C. Peripheral edema
D. Liver enlargement - ANS B. Pulmonary congestion
On admitting a client, the nurse finds that there is a history of myocardial ischemia. The most
disconcerting dysrhythmia for electrocardiography to reveal is:
A. Sinus bradycardia
@2026/2027 ALLRIGHTS RESERVED.
