TNI Oxygenation Quiz Questions & Answers –
Nursing Oxygenation, Respiratory Disorders &
Clinical Scenarios, exam practice guide
A patient who started smoking in adolescence and continues to smoke 40 years later comes to
the clinic. The nurse understands that this patient has an increased risk for being diagnosed
with which disorder:
A) Alcoholism and hypertension
B) Obesity and diabetes
C) Stress-related illnesses
D) Cardiopulmonary disease and lung cancer
Cardiopulmonary disease and lung cancer
A patient has been diagnosed with severe iron deficiency anemia. During physical assessment
for which of the following symptoms would the nurse assess to determine the patient's oxygen
status?
A) Increased breathlessness but increased activity tolerance
B) Decreased breathlessness and decreased activity tolerance
C) Increased activity tolerance and decreased breathlessness
D) Decreased activity tolerance and increased breathlessness
Decreased activity tolerance and increased breathlessness
A patient is admitted to the emergency department with suspected carbon monoxide
poisoning. Even though the patient's color is ruddy, not cyanotic, the nurse understands that the
patient is at a risk for decreased oxygen-carrying capacity of blood because carbon monoxide
does which of the following:
A) Stimulates hyperventilation, causing respiratory alkalosis
B) Forms a strong bond with hemoglobin, creating a functional anemia.
C) Stimulates hypoventilation, causing respiratory acidosis
D) Causes alveoli to overinflate, leading to atelectasis
Forms a strong bond with hemoglobin, creating a functional anemia.
A 6-year-old boy is admitted to the pediatric unit with chills and a fever of 104°F (40°C). What
physiological process explains why the child is at risk for developing dyspnea?
A) Fever increases metabolic demands, requiring increased oxygen need.
B) Blood glucose stores are depleted, and the cells do not have energy to use oxygen.
, C) Carbon dioxide production increases as result of hyperventilation.
D) Carbon dioxide production decreases as a result of hypoventilation.
Fever increases metabolic demands, requiring increased oxygen need.
A patient is admitted with the diagnosis of severe left-sided heart failure. The nurse expects to
auscultate which adventitious lung sounds?
A) Sonorous wheezes in the left lower lung
B) Rhonchi midsternum
C) Crackles only in apex of lungs
D) Inspiratory crackles in lung bases
Inspiratory crackles in lung bases
The nurse is caring for a patient who has decreased mobility. Which intervention is a simple and
cost-effective method for reducing the risks of stasis of pulmonary secretions and decreased
chest wall expansion?
A) Antibiotics
B) Frequent change of position
C) Oxygen humidification
D) Chest physiotherapy
Frequent change of position
A patient is admitted with severe lobar pneumonia. Which of the following assessment findings
would indicate that the patient needs airway suctioning?
A) Coughing up thick sputum only occasionally
B) Coughing up thin, watery sputum easily after nebulization
C) Decreased independent ability to cough
D) Lung sounds clear only after coughing
Decreased independent ability to cough
A patient was admitted after a motor vehicle accident with multiple fractured ribs. Respiratory
assessment includes signs/symptoms of secondary pneumothorax, which includes which of the
following?
A) Sharp pleuritic pain that worsens on inspiration
B) Crackles over lung bases of affected lung
C) Tracheal deviation toward the affected lung
D) Increased diaphragmatic excursion on side of rib fractures
Sharp pleuritic pain that worsens on inspiration
Nursing Oxygenation, Respiratory Disorders &
Clinical Scenarios, exam practice guide
A patient who started smoking in adolescence and continues to smoke 40 years later comes to
the clinic. The nurse understands that this patient has an increased risk for being diagnosed
with which disorder:
A) Alcoholism and hypertension
B) Obesity and diabetes
C) Stress-related illnesses
D) Cardiopulmonary disease and lung cancer
Cardiopulmonary disease and lung cancer
A patient has been diagnosed with severe iron deficiency anemia. During physical assessment
for which of the following symptoms would the nurse assess to determine the patient's oxygen
status?
A) Increased breathlessness but increased activity tolerance
B) Decreased breathlessness and decreased activity tolerance
C) Increased activity tolerance and decreased breathlessness
D) Decreased activity tolerance and increased breathlessness
Decreased activity tolerance and increased breathlessness
A patient is admitted to the emergency department with suspected carbon monoxide
poisoning. Even though the patient's color is ruddy, not cyanotic, the nurse understands that the
patient is at a risk for decreased oxygen-carrying capacity of blood because carbon monoxide
does which of the following:
A) Stimulates hyperventilation, causing respiratory alkalosis
B) Forms a strong bond with hemoglobin, creating a functional anemia.
C) Stimulates hypoventilation, causing respiratory acidosis
D) Causes alveoli to overinflate, leading to atelectasis
Forms a strong bond with hemoglobin, creating a functional anemia.
A 6-year-old boy is admitted to the pediatric unit with chills and a fever of 104°F (40°C). What
physiological process explains why the child is at risk for developing dyspnea?
A) Fever increases metabolic demands, requiring increased oxygen need.
B) Blood glucose stores are depleted, and the cells do not have energy to use oxygen.
, C) Carbon dioxide production increases as result of hyperventilation.
D) Carbon dioxide production decreases as a result of hypoventilation.
Fever increases metabolic demands, requiring increased oxygen need.
A patient is admitted with the diagnosis of severe left-sided heart failure. The nurse expects to
auscultate which adventitious lung sounds?
A) Sonorous wheezes in the left lower lung
B) Rhonchi midsternum
C) Crackles only in apex of lungs
D) Inspiratory crackles in lung bases
Inspiratory crackles in lung bases
The nurse is caring for a patient who has decreased mobility. Which intervention is a simple and
cost-effective method for reducing the risks of stasis of pulmonary secretions and decreased
chest wall expansion?
A) Antibiotics
B) Frequent change of position
C) Oxygen humidification
D) Chest physiotherapy
Frequent change of position
A patient is admitted with severe lobar pneumonia. Which of the following assessment findings
would indicate that the patient needs airway suctioning?
A) Coughing up thick sputum only occasionally
B) Coughing up thin, watery sputum easily after nebulization
C) Decreased independent ability to cough
D) Lung sounds clear only after coughing
Decreased independent ability to cough
A patient was admitted after a motor vehicle accident with multiple fractured ribs. Respiratory
assessment includes signs/symptoms of secondary pneumothorax, which includes which of the
following?
A) Sharp pleuritic pain that worsens on inspiration
B) Crackles over lung bases of affected lung
C) Tracheal deviation toward the affected lung
D) Increased diaphragmatic excursion on side of rib fractures
Sharp pleuritic pain that worsens on inspiration
