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    Exam Review

    1. The nurse clarifies that the condition in which there is a decreased amount of oxygen in the blood is:
      A)
      hypercapnia
      B)
      hypoxemia
      C)
      dyspnea
      D)
      Hypoxia
    2. A nurse is reinforcing teaching with a client who has a prescription for home oxygen therapy. Which of the following instructions should the nurse include?
      A)
      Choose a wool blanket when using oxygen.
      B)
      Keep oxygen tanks 4 feet away from an electric stove.
      C)
      Store oxygen tanks upright.
      D)
      Use petroleum-based ointments to moisturize lips.
    3. The nurse recognizes that a postoperative patient who can breathe independently but has trouble maintaining an airway because of the tongue falling back into the throat would be best benefitted by a(n)
      A)
      endotracheal tube
      B)
      partial rebreather oxygen mask
      C)
      tracheostomy
      D)
      pharyngeal airway
    4. The nurse caring for a patient with a disposable chest drainage system can promote effective tube function and patient safety by:
      A)
      taping all connections within the system
      B)
      turning on suction to 35 cm
      C)
      keeping the system at the level of the patient's chest
      D)
      looping the tubing between the mattress and the bed rail to minimize length
    Page 1 of 13

    Exam Review

    1. A nurse is reinforcing teaching with a newly licensed nurse about a nonrebreather mask. Which of the following instructions should the nurse include?
      A)
      A nonrebreather mask should fit snugly over a client's face.
      B)
      The reservoir bag on a nonrebreather mask should collapse with exhalation.
      C)
      A nonrebreather mask dries a client's mucous membranes.
      D)
      Use a non rebreather mask to deliver low-flow oxygen.
    2. A nurse is reinforcing preoperative teaching for a client about coughing and deep breathing. Which of the following statements should the nurse make?
      A)
      "Repeat your breathing exercise every 2 hrs."
      B)
      "Inhale through your mouth."
      C)
      "Hold your breath for 5 seconds."
      D)
      "Exhale through your nose."
    3. A nurse is caring for a client who is experiencing respiratory distress. Which of the following positions should the nurse assist the client into?
      A)
      Trendelenburg
      B)
      Tripod
      C)
      Supine
      D)
      Low-Fowler's Position
    4. The nurse loosens mucus plugs by using percussion on a patient over the area of the:
      A)
      sternum
      B)
      thorax
      C)
      midaxillary line on the rib cage
      D)
      spine between the scapulae
    Page 2 of 13

    Exam Review

    1. A nurse is reinforcing teaching with a newly licensed nurse about tracheostomy care for a toddler. Which of the following instructions should the nurse include in the teaching?
      A)
      Secure the tracheostomy ties so that fingers cannot fit between the ties and the neck.
      B)
      Suction for 20 seconds.
      C)
      Clean secretions from the tube using hydrogen peroxide.
      D)
      Set the vacuum pressure at 120 mmHg for suctioning.
    2. A provider is discharging a client with a prescription for home oxygen therapy. The nurse should reinforce which of the following instructions with the client and his family? (Select all that apply.)
      (SATA)
      A)
      Cleanse the mask or collar with soapy water every other day.
      B)
      Post "no smoking" warning signs at home in a prominent location.
      C)
      Make sure the straps on the mask are secure but not too tight.
      D)
      Check the tops of his ears regularly for skin breakdown.
      E)
      Apply petroleum jelly around and inside the nares.
    3. The nurse would determine that this patient is aware of how to use the incentive spirometer device properly when the patient:
      A)
      took five quick "huffs" and then coughed vigorously
      B)
      exhaled deeply and then inhaled quickly and forcefully three times
      C)
      took five deep breaths slowly every 4 hours
      D)
      took 10 slow, deep breaths every hour
    4. The nurse is aware that the best time to schedule a postural drainage treatment is
      A)
      in the morning immediately after breakfast
      B)
      shortly after the patient arises in the morning, before breakfast
      C)
      30 minutes after lunch
      D)
      1 hour after supper
    Page 3 of 13

    Exam Review

    1. A nurse is preparing to measure a client's oxygen saturation and notes edema of the client's hands and thickened toenails. The nurse should apply the pulse oximeter probe to which of the following locations?
      A)
      Toe
      B)
      Skin fold
      C)
      Earlobe
      D)
      Finger
    2. A client is receiving oxygen therapy via a nasal cannula. When the client asks the nurse why he needs to have oxygen tubing in his nose, which of the following explanations about the cannula should the nurse give him?
      A)
      "It delivers a specific concentration of oxygen constantly."
      B)
      "It allows you to remove it for a while when it gets uncomfortable."
      C)
      "It delivers the highest concentration of oxygen possible."
      D)
      "It delivers the low concentration of oxygen you need."
    3. A nurse is checking the suction control chamber of a client's chest tube and notes that there is no bubbling in the suction control chamber. Which of the following actions should the nurse take?
      A)
      Milk the chest tube to dislodge any clots in the tubing that may be occluding it.
      B)
      Notify the provider.
      C)
      Verify that the suction regulator is on.
      D)
      Continue to monitor the client because this is an expected finding.
    4. Which of the following is not considered an adventitious lung sound upon auscultation:
      A)
      Pleural friction rub
      B)
      Rhonchi
      C)
      Stridor
      D)
      Vesicular
    Page 4 of 13

    Exam Review

    1. Your patient is breathing shallowly and seems irritable and restless. A nursing action that might help is to have him:
      A)
      take a good nap
      B)
      turn, cough and deep breathe
      C)
      submit to a back rub
      D)
      take some pain medication
    2. A nurse is assisting with the care of a client who has a chest tube. Which of the following actions should the nurse take?
      A)
      Loop the tubing of the chest tube on the client's bed.
      B)
      Place the chest tube drainage system above the level of the client's heart.
      C)
      Strip the client's chest tube every 2 hrs.
      D)
      Tape the connections on the client's chest tube.
    3. A nurse is collecting data from a client who has a respiratory disorder and displays manifestations of hypoxia. Which of the following findings should the nurse expect?
      A)
      Bradypnea
      B)
      Pallor
      C)
      Cyanosis
      D)
      Bradycardia
    4. A nurse caring for a patient with a tracheostomy should determine whether the patient needs suctioning by:
      A)
      examining the character of the sputum
      B)
      monitoring the rate of respirations.
      C)
      auscultating the breath sounds
      D)
      determining the last time the patient was suctioned
    Page 5 of 13

    Exam Review

    1. The nurse performing tracheostomy care will:
      A)
      raise the head of the bed to high Fowler's position
      B)
      remove the inner cannula with the ungloved hand
      C)
      suction tracheostomy before beginning care
      D)
      clean cannula with gauze and replace and lock
    2. A nurse in a long-term care facility sees a client who is choking. Which of the following data should the nurse identify as requiring an abdominal thrust?
      A)
      The client is grasping his abdomen.
      B)
      The client is coughing.
      C)
      The client cannot speak.
      D)
      The client is hyperventilating.
    3. The nurse clarifies that the cough mechanism is stimulated when:
      A)
      more than 250 mL of air moves in and out of the lungs with each breath
      B)
      foreign substances are propelled by the cilia toward the respiratory tract
      C)
      dehumidified air enters the upper airway passages
      D)
      the blood transports carbon dioxide to the lungs
    4. A nurse is reinforcing teaching with a client who is having difficulty using an incentive spirometer. Which of the following instructions should the nurse include in the teaching?
      A)
      Start slowly and increase volume over several sessions.
      B)
      Be much more vigorous in increasing increments.
      C)
      Do regular deep-breathing exercises instead.
      D)
      Use another device because this one might be faulty.
    Page 6 of 13