Oxygenation/Perfusion NCLEX Questions
Questions and Correct Answers/ Latest
Update / Already Graded
The nurse is caring for a male client with a chest tube. If the chest
drainage system is accidentally disconnected, what should the nurse
plan to do?
A. Place the end of the chest tube in a container of sterile saline
B. Apply an occlusive dressing and notify the physician.
C. Clamp the chest tube immediately
D. Secure the chest tube with tape
Ans: A. Place the end of the chest tube in a container of sterile
saline
For a male client with chronic obstructive pulmonary disease, which
nursing intervention would help maintain a patent airway?
A. Restricting fluid intake to 1,000 ml/day
B. Enforcing absolute bed rest
C. Teaching the client how to perform controlled coughing
D. Administering prescribed sedatives regularly and in large amounts
Ans: C. Teaching the client how to perform controlled
coughing
All rights reserved © 2025/ 2026 |
, Page |2
Which of the following is true concerning the physiology of the
cardiovascular system?
A. Stimulating the parasympathetic system would cause the heart rate
to go up.
B. When a person has heart muscle disease, the heart muscles stretch
as far as is necessary to maintain function.
C. The QRS interval on the electrocardiogram represents the electrical
impulses passing through the ventricles.
D. When stroke volume decreases, there is a resultant decrease in
heart rate.
Ans: C. The QRS interval on the electrocardiogram represents
the electrical impulses passing through the ventricles.
The client has emphysema from smoking. During a respiratory system
assessment the nurse anticipates finding:
A. Abnormal palpation signs in the upper thorax
B. Dull sounds on percussion
C. A depressed sternum on inspection
All rights reserved © 2025/ 2026 |
, Page |3
D. Moist breath sounds on auscultation
Ans: B. Dull sounds on percussion
A 64-year-old client is seen in the emergency room for palpitations and
mild shortness of breath. The ECG reveals a normal P wave, P-R
interval, and QRS complex with a regular rhythm and rate of 108. The
nurse should recognize this cardiac dysrhythmia as:
A. Sinus dysrhythmia
B. Sinus tachycardia
C. Supraventricular tachycardia
D. Ventricular tachycardia
Ans: B. Sinus tachycardia
A client recently fractured his spinal cord at the C-3 level and is at great
risk for developing pneumonia primarily because:
A. The resulting paralysis immobilizes him, and secretions will increase
in his lungs
B. Innervation to the phrenic nerve is absent, preventing chest
expansion
All rights reserved © 2025/ 2026 |
, Page |4
C. The resulting abnormal chest shape disallows efficient ventilatory
movement
D. Trauma decreases the ability of his red blood cells to carry oxygen
Ans: B. Innervation to the phrenic nerve is absent, preventing
chest expansion
The client has experienced a myocardial infarction damaging the right
ventricle. Which of the following is a likely complication he would
experience?
A. Jugular neck vein distention
B. Pulmonary congestion
C. Peripheral edema
D. Liver enlargement
Ans: B. Pulmonary congestion
On admitting a client, the nurse finds that there is a history of
myocardial ischemia. The most disconcerting dysrhythmia for
electrocardiography to reveal is:
A. Sinus bradycardia
All rights reserved © 2025/ 2026 |