NR110 Exam 4 Updated ACTUAL
QUESTIONS AND CORRECT ANSWERS
A nurse is planning care for a group of clients receiving oxygen therapy. Which of the
following clients should the nurse plan to see first?
A: A client who has heart failure & is receiving 100% oxygen via partial rebreather mask
B: A client who has emphysema & is receiving at 3L/min via transtracheal oxygen cannula
C: A client who has an old tracheostomy & is receiving 40% humidified oxygen via
tracheostomy collar
D: A client who has COPD & is receiving at 2 L/min via nasal cannula - CORRECT
ANSWER A: A client who has heart failure & is receiving 100% oxygen via partial
rebreather mask
A nurse is caring for a toddler at a well-child visit when the mother calls, "Help! My baby is
choking on his food." Which of the following findings indicates the toddler has an airway
obstruction?
A: Flushing of the skin
B: Inability to cry or speak
C: Presence of nausea & mild emesis
D: Capillary refill time of 1.5 sec - CORRECT ANSWER B: Inability to cry or speak
A nurse is caring for a client who is immobile. The nurse should recognize that immobility
places the client at risk of which of the following health alterations?
A: Increased intestinal mobility
B: Respiratory alkalosis
C: Decreased cardiac output
D: Hypocalcemia - CORRECT ANSWER C: Decreased cardiac output
QUESTIONS AND CORRECT ANSWERS
A nurse is planning care for a group of clients receiving oxygen therapy. Which of the
following clients should the nurse plan to see first?
A: A client who has heart failure & is receiving 100% oxygen via partial rebreather mask
B: A client who has emphysema & is receiving at 3L/min via transtracheal oxygen cannula
C: A client who has an old tracheostomy & is receiving 40% humidified oxygen via
tracheostomy collar
D: A client who has COPD & is receiving at 2 L/min via nasal cannula - CORRECT
ANSWER A: A client who has heart failure & is receiving 100% oxygen via partial
rebreather mask
A nurse is caring for a toddler at a well-child visit when the mother calls, "Help! My baby is
choking on his food." Which of the following findings indicates the toddler has an airway
obstruction?
A: Flushing of the skin
B: Inability to cry or speak
C: Presence of nausea & mild emesis
D: Capillary refill time of 1.5 sec - CORRECT ANSWER B: Inability to cry or speak
A nurse is caring for a client who is immobile. The nurse should recognize that immobility
places the client at risk of which of the following health alterations?
A: Increased intestinal mobility
B: Respiratory alkalosis
C: Decreased cardiac output
D: Hypocalcemia - CORRECT ANSWER C: Decreased cardiac output
