Oxygenation Practice Questions

A client has suspected fluid accumulation in the pleural space of the lungs and is scheduled for a thoracentesis. The nurse will implement which of the following for this procedure? Select all that apply. a) Place the client in the prone position. b) Complete a respiratory assessment after the procedure. c) Educate the client about the need to cleanse the thoracic area. d) Apply pressure to the puncture site after the procedure. e) Prepare the client for magnetic resonance imaging after the procedure to verify tube placement.

b) Complete a respiratory assessment after the procedure. c) Educate the client about the need to cleanse the thoracic area. d) Apply pressure to the puncture site after the procedure.

A patient is diagnosed with mild obstructive sleep apnea after having a sleep study performed. What treatment modality will be the most effective for this patient? a) Bi-level positive airway pressure b) Continuous positive airway pressure c) Surgery to remove the tonsils and adenoids d) Medications to assist the patient with sleep at night

b) Continuous positive airway pressure

The nurse auscultates the client's lungs to reveal coarse, moist, high-pitched, and non-continuous sounds that do not clear with coughing. The nurse will document these sounds as which type? a) Pleural rub b) Crackles c) Wheezes d) Rhonchi

b) Crackles

A client with COPD has been receiving oxygen therapy for an extended period. What symptoms would be indicators that the client is experiencing oxygen toxicity? Select all that apply. a) Mood swings b) Fatigue c) Dyspnea d) Substernal pain e) Bradycardia

b) Fatigue c) Dyspnea d) Substernal pain

Which of the following is inconsistent with acute otitis media? a) The infection usually lasts less than 6 weeks. b) It is a relatively uncommon childhood infection. c) Conductive hearing loss may occur. d) A purulent exudate is usually present in the middle ear.

b) It is a relatively uncommon childhood infection.

A client has a nursing diagnosis of "ineffective airway clearance" as a result of excessive secretions. An appropriate outcome for this client would be which of the following? a) Respiratory rate is 12 to 18 breaths per minute. b) Lungs are clear on auscultation. c) Client can perform incentive spirometry. d) Client reports no chest pain.

b) Lungs are clear on auscultation.

12. A patient with emphysema is placed on continuous oxygen at 2 L/min at home. Why is it important for the nurse to educate the patient and family that they must have No Smoking signs placed on the doors? a) Oxygen prevents the dispersion of smoke particles. b) Oxygen supports combustion. c) Oxygen is combustible. d) Oxygen is explosive.

b) Oxygen supports combustion.

When discussing diseases of the middle ear, the nursing instructor distinguishes the different types of otitis media. What generally causes purulent otitis media? a) Outer ear b) Upper respiratory infections c) Irritation associated with respiratory allergies and enlarged adenoids d) Bronchial tree

b) Upper respiratory infections

What is the difference between respiration and ventilation? a) Ventilation is the process of gas exchange. b) Ventilation is the movement of air in and out of the respiratory tract. c) Ventilation is the process of getting oxygen to the cells. d) Ventilation is the exchange of gases in the lung.

b) Ventilation is the movement of air in and out of the respiratory tract.

A nurse is caring for a client who has a history of sleep apnea. The client understands the disease process when he says: a) "I should become involved in a weight loss program." b) "I should sleep on my back all night long." c) "I should eat a high-protein diet." d) "I need to keep my inhaler at the bedside."

a) "I should become involved in a weight loss program."

The nurse is caring for a client who has recurrent sinusitis. Which consideration could the nurse suggest to best decrease the frequency of infections? a) Administer an over-the-counter decongestant. b) Gently blow the nose to eliminate nasal secretions. c) Use an anti-allergy medication to decrease rhinitis. d) Place a warm cloth over the sinus area of the forehead.

a) Administer an over-the-counter decongestant.

A patient has been diagnosed with acute rhinosinusitis caused by a bacterial organism. What antibiotic of choice for treatment of this disorder does the nurse anticipate educating the patient about? a) Amoxicillin-clavulanic acid (Augmentin) b) Cephalexin (Keflex) c) Clarithromycin (Biaxin) d) Cefuroxime (Ceftin)

a) Amoxicillin-clavulanic acid (Augmentin)

The nurse is educating a patient diagnosed with acute bacterial rhinosinusitis about interventions that may assist with symptom control. What should the nurse include in this information? (Select all that apply.) a) Ensure an adequate fluid intake. b) Take an over-the-counter antihistamine. c) Apply local heat to promote drainage. d) Increase the humidity in the home.

a) Ensure an adequate fluid intake. c) Apply local heat to promote drainage. d) Increase the humidity in the home.

Which of the following are clinical manifestations associated with obstructive sleep apnea (OSA)? Select all that apply. a) Insomnia b) Impotence c) Loud snoring d) Excessive daytime sleepiness e) Arrhythmias

a) Insomnia b) Impotence c) Loud snoring d) Excessive daytime sleepiness e) Arrhythmias

During a pulmonary assessment, the nurse observes the chest for configuration. Which of the following would be consistent with normal assessment? a) Lateral diameter greater than anteroposterior diameter b) Elevation of the scapula with the lateral diameter unaffected c) Anteroposterior diameter that equals the lateral diameter d) Lateral diameter less than anteroposterior diameter

a) Lateral diameter greater than anteroposterior diameter

You are caring for a client diagnosed with enlarged adenoids. What condition is produced by enlarged adenoids? a) Noisy breathing b) Incrusted mucous membranes c) Erosion of the trachea d) Hardened secretions

a) Noisy breathing

9. A young adult client has had a tonsillectomy and is in the immediate postoperative period. To prevent aspiration, the nurse intervenes by: a) Placing the client prone with the head turned to the side b) Sitting the client in the semi-Fowler's position c) Removing the oral airway before the gag reflex has returned for client comfort d) Maintaining a warm compress around the client's neck area

a) Placing the client prone with the head turned to the side

With which diagnostic studies would the nurse screen the client for an allergy to iodine? Select all that apply. a) Pulmonary angiography b) Fluoroscopy c) Bronchoscopy d) Chest x-raye) Pulmonary function test

a) Pulmonary angiography b) Fluoroscopy

The nurse is caring for a client whose respiratory status has declined since shift report. The client has tachypnea, is restless, and displays cyanosis. Which diagnostic test should be perfomed first? a) Pulse oximetry b) Chest x-ray c) Arterial blood gases d) Pulmonary function test

a) Pulse oximetry

The nurse is caring for a geriatric client brought to the emergency department after being found by her children feeling poorly with an elevated temperature. Laboratory tests confirm influenza type A, a respiratory virus. Which medical treatment would the nurse anticipate in the discharge instructions? Select all that apply. a) Rest b) Saline gargles c) Increased fluids d) Antiemetics e) Antibiotics f) Antitussives

a) Rest b) Saline gargles c) Increased fluids f) Antitussives

The nurse is educating the patient diagnosed with acute pharyngitis on methods to alleviate discomfort. What interventions should the nurse include in the information? (Select all that apply.) a) Try a liquid or soft diet during the acute stage of the disease. b) Stay on bed rest during the febrile stage of the illness. c) Apply an ice collar. d) Gargle with an alcohol-based mouthwash.

a) Try a liquid or soft diet during the acute stage of the disease. b) Stay on bed rest during the febrile stage of the illness. c) Apply an ice collar.

The nurse is caring for clients on the neurological unit. Which triad of neurological mechanisms does the nurse identify as most responsible when there is abnormality in ventilation control? a) Medulla oblongata, cerebellum, and heart rate b) Pons, cerebellum, and oxygen receptors c) Aortic arch, pons, and CO2 receptor sites d) Medulla oblongata, mitral valve, and central receptors

c) Aortic arch, pons, and CO2 receptor sites

A client with acute viral rhinosinusitis is being seen in a clinic. The nurse is providing discharge instructions and includes the following information: a) Severe pain when palpating the sinuses is normal. b) Make sure to follow antibiotic therapy. c) Avoid air travel. d) Dehumidify the air in the home.

c) Avoid air travel.

The nurse is assessing a patient in respiratory failure. What finding is a late indicator of hypoxia? a) Tachycardia b) Crackles c) Cyanosis d) Restlessness

c) Cyanosis

A client is postoperative and prescribed an incentive spirometer (IS). The nurse instructs the client to: a) Maintain a supine position to use the spirometer. b) Use the spirometer twice every hour. c) Expect coughing when using the spirometer properly. d) Inhale and exhale rapidly with the spirometer

c) Expect coughing when using the spirometer properly.

When the nurse is assessing the older adult patient, what gerontologic changes in the respiratory system should the nurse be aware of? (Select all that apply.) a) Decreased alveolar duct diameter b) Increased presence of mucus c) Increased presence of collagen in alveolar walls d) Decreased gag reflex e) Decreased presence of mucus

c) Increased presence of collagen in alveolar walls d) Decreased gag reflex e) Decreased presence of mucus

The nurse is educating a patient with COPD about the technique for performing pursed-lip breathing. What does the nurse inform the patient is the importance of using this technique? a) It will prevent the alveoli from overexpanding. b) It will assist with widening the airway. c) It prolongs exhalation. d) It increases the respiratory rate to improve oxygenation.

c) It prolongs exhalation.

29. The nurse is caring for a client with a decrease in airway diameter causing airway resistance. The client experiences coughing and mucus production. Upon lung assessment, which adventitious breath sounds are anticipated? a) Rhonchi b) Rubs c) Wheezes d) Crackles

c) Wheezes

Another term for clergyman's sore throat is a) hypertrophic pharyngitis. b) aphonia. c) chronic pharyngitis. d) atrophic pharyngitis.

c) chronic pharyngitis.

A client is diagnosed as having serous otitis media. When describing this condition to the client, which of the following would be most accurate? a) "Your eardrum has ruptured because of the extreme pressure in your middle ear from the infection." b) "It has resulted from the several recurrent episodes of acute otitis media you've had." c) "You have a common infection in one of the bones of your face." d) "You have some fluid that has collected in your middle ear but no infection."

d) "You have some fluid that has collected in your middle ear but no infection."

What finding by the nurse may indicate that the patient has chronic hypoxia? a) Cyanosis b) Peripheral edema c) Crackles d) Clubbing of the fingers

d) Clubbing of the fingers

A patient comes to the clinic with complaints of a sore throat and is diagnosed with acute bacterial pharyngitis. What does the nurse understand is the likely cause of acute pharyngitis? a) Gram-negative Klebsiella b) Staphylococcus aureus c) Pseudomonas aeruginosa d) Group A, beta-hemolytic streptococci

d) Group A, beta-hemolytic streptococci

A client has undergone a myringotomy. The nurse interprets this as which of the following? a) Surgical reconstruction of the eardrum b) Placement of ventilation tubes c) Reconstruction of the middle ear bones d) Incision of the eardrum

d) Incision of the eardrum

18. What happens to the diaphragm during inspiration? a) It contracts and raises. b) It relaxes and flattens. c) It relaxes and raises. d) It contracts and flattens.

d) It contracts and flattens.

A patient has a diagnosis of multiple sclerosis. The nurse is aware that neuromuscular disorders such as multiple sclerosis may lead to a decreased vital capacity. What does vital capacity measure? a) The volume of air inhaled and exhaled with each breath b) The volume of air in the lungs after a maximal inspiration c) The maximal volume of air inhaled after normal expiration d) The maximal volume of air exhaled from the point of maximal inspiration

d) The maximal volume of air exhaled from the point of maximal inspiration