and Answers | Latest Version | 2025/2026
| Correct & Verified
A nurse is assessing a client with decreased perfusion. Which finding is expected?
✔✔ A. Cool extremities
B. Warm, flushed skin
C. Bounding pulses
D. Elevated blood pressure
What is the most important reason to monitor capillary refill?
A. To assess lung sounds
✔✔ B. To evaluate peripheral perfusion
C. To detect infection
D. To measure oxygen saturation
Which oxygen delivery device is best for short-term, high-concentration oxygen needs?
A. Nasal cannula
✔✔ B. Nonrebreather mask
1
,C. Simple mask
D. Venturi mask
A client with decreased oxygenation might exhibit which symptom first?
✔✔ A. Restlessness
B. Cyanosis
C. Bradycardia
D. Edema
Which lab value best reflects a client’s oxygen-carrying capacity?
✔✔ A. Hemoglobin
B. Creatinine
C. Sodium
D. Bicarbonate
What is the primary goal of incentive spirometry?
A. Increase heart rate
✔✔ B. Promote lung expansion
2
, C. Improve digestion
D. Prevent hypertension
Which position is best for a client experiencing acute shortness of breath?
A. Side-lying
✔✔ B. High Fowler's
C. Prone
D. Trendelenburg
Which nursing action promotes perfusion in a client with impaired circulation?
✔✔ A. Elevate the legs
B. Apply cold packs
C. Restrict fluids
D. Lower the head of the bed
A nurse should recognize that tachypnea affects oxygenation by:
✔✔ A. Decreasing oxygen exchange
B. Increasing alveolar oxygen
3