OXYGENATION
MCQs
1.A client chronic pulmonary disease has a bluish tinge around the lips. The nurse charts
which term to most accurately describe the client condition?
a. Hypoxia b. Hypoxemia c. Dyspnea d. Cyanosis
2. To prevent postoperative complications, the nurse assist the client with coughing and deep-
breathing exercise. This is best accomplished by implementing which of the following?
a. Coughing exercises 1 hour before meals and breathing 1 hour after meals
b. Forceful coughing as many times as tolerated
c. Huff coughing every 2 hours or as needed
d. Diaphragmatic and pursed-lip breathing 5 to 10 times, four times a day
3. The nurse is preparing to perform tracheostomy care. Prior to beginning the procedure the
nurse performs which action?
a. Changes the twill tape holding the tracheostomy in place.
B.Cleans the incision site.
c. Tells the client to raise two fingers to indicate pain or distress.
d. Checks the tightness of the ties and knot.
4. Which action by the nurse represents proper nasopharyngeal or nasotracheal suction
technique?
a. Lubricate the suction catheter with peritoneum jelly before and between insertions.
B. Apply suction intermittently while inserting the suction catheter.
c. Rotate the catheter while applying suction.
d. Hyperoxygenate with 100% oxygen for 30 minutes before and after suction.
5. Which client statement informs the nurse that his teaching about the proper use of
incentive spirometer was effective?
a. “I should breathe out as fast and hard as possible into the device.”
b. “I should inhale slowly and steadily to keep the balls up.”
d. “The entire device should be washed thoroughly in sudsy water once a week.”
6. When a client with chest tubes is ambulating, the connection between the tube and the
water seal dislodges. Which action by the nurse is most appropriate?
a. Assist the client to ambulate back to bed.
b. Reconnect the tube to the water seal.
c. Assess the client's lung sounds with a stethoscope.
d. Have the client cough forcibly several times.
7. The nurse makes the assessment that which client has the greatest risk for a problem with
the transport of oxygen from the lungs to the tissues? A client who has
a. Anemia
b. An infection
c. A fractured rib.
d. A tumor of the medulla.
8. Which term does the nurse document to best describe a client experiencing shortness of
breath when lying down who must assume an upright or sitting position to breath more
comfortably and effectively?
a. Dyspnea
b. Hyperpnea
c. Orthopnea
d. Acapnea
9. A client with emophysema corticosteroid therapy on a short-term basis for acute
bronchitis. The client asks the nurse how the steroids will help him. The nurse responds by
saying that the corticosteroids will do which of the following?
a. Promote bronchodilation
b. Help the client to cough.
c. Prevent respiratory infection.
d. Decrease inflammation in the airways.
10. The nurse is planning to perform percussion and postural drainage. Which is an important
aspect of planning the client’s care?
a. Percussion and postural drainage should be done before lunch.
b. The order should be coughing, percussion, positioning and then suctioning.
c. A good time to perform percussion and postural drainage is in the morning after breakfast
when the client is well rested.
d. Percussion and postural drainage should always be preceded by 3 minutes of 100%
oxygen.
