NURS 1871 Exam 3 UPDATED ACTUAL Questions and CORRECT
Answers
A nurse is caring for a patient receiving 5 L/min of -Add a humidifier bottle to the oxygen setup.
oxygen via nasal cannula. Which of the following
interventions is most appropriate?
-Switch to a non-rebreather mask.
-Add a humidifier bottle to the oxygen setup.
-Apply petroleum jelly to the patient's nose to reduce
dryness.
-Decrease the flow rate to 2 L/min to prevent oxygen
toxicity
A patient on a simple face mask is receiving 4 L/min of -Increase the flow rate to at least 6 L/min.
oxygen. Which action should the nurse take first?
-Increase the flow rate to at least 6 L/min.
-Switch the patient to a nasal cannula.
-Document the oxygen delivery and continue care.
-Turn off the oxygen and notify the provider.
A nurse walks into a room and notices a patient's non- -Increase the oxygen flow rate.
rebreather mask reservoir bag is deflated during
inhalation. What should the nurse do?
-Increase the oxygen flow rate.
-Switch to a nasal cannula.
-Document the findings.
-Lower the head of the bed.
Which oxygen delivery device is best for a patient who -OxyMask
requires high oxygen support but feels claustrophobic?
-Simple face mask
-Non-rebreather mask
-OxyMask
-Partial rebreather mask
A nurse finds petroleum jelly at a patient's bedside who is -Replace it with a water-based lubricant.
receiving 2 L/min of oxygen by nasal cannula. What is the
appropriate nursing action?
-Leave the petroleum jelly since the flow rate is low.
-Replace it with a water-based lubricant.
-Educate the patient to use it only on dry lips.
-Apply the jelly only around the tubing.
,A patient receiving 8 L/min oxygen via partial rebreather -Notify the provider immediately.
mask shows signs of drowsiness and confusion. What is
the nurse's priority action?
-Notify the provider immediately.
-Encourage the patient to rest.
-Decrease the oxygen flow rate.
-Reposition the mask to improve comfort.
Which oxygen delivery device allows the patient to eat, -OxyMask
drink, and speak without removing the device?
-Simple face mask
-Nasal cannula
-OxyMask
-Non-rebreather mask
Which of the following requires a provider's order before -Any oxygen therapy under normal (non-emergency) circumstances
initiating?
-Nasal cannula at 2 L/min in an emergency
-Any oxygen therapy under normal (non-emergency)
circumstances
-Humidifier attachment
-Pulse oximetry
A patient receiving oxygen therapy reports irritation -Use gauze or foam tubing protectors behind the ears.
behind the ears. What should the nurse do?
-Remove the cannula and discontinue oxygen.
-Apply petroleum jelly to the irritated area.
-Use gauze or foam tubing protectors behind the ears.
-Switch the delivery method to a face mask.
A patient on room air has a SpO₂ of 89%. The nurse -Apply oxygen at 2 L/min via nasal cannula per standing order or protocol.
should:
-Document the value and reassess in 4 hours.
-Apply oxygen at 2 L/min via nasal cannula per standing
order or protocol.
-Administer oxygen at 10 L/min via non-rebreather mask.
-Wait until the patient is symptomatic before taking
action.
A provider prescribes continuous oxygen at 2 L/min for a -Nasal cannula
patient with pneumonia. Which oxygen delivery method
should the nurse expect to use?
-Non-rebreather mask
-BiPAP
-Nasal cannula
-Ambu bag
, Which alterations of oxygenation and perfusion may -Increased respiratory rate
require supplemental oxygen therapy? Select all that -Low oxygen saturation
apply -Cyanosis
-Increased respiratory rate
-Decreased heart rate
-Low oxygen saturation
-Cyanosis
-Elevated hemoglobin
Which cues would the nurse expect to find in a patient -Dyspnea with exertion
with an inability to effectively pump blood to the tissues? -Fatigue
Select all that apply -Lower extremity edema
-Dyspnea with exertion
-Fatigue
-Lower extremity edema
-Crushing chest pain
-Nausea and vomiting
Which condition would the nurse suspect in a -Atelectasis
postsurgical patient who is experiencing dyspnea with
decreased breath sounds?
-Chronic obstructive pulmonary disease (COPD)
-Asthma
-Atelectasis
-Heart failure
Which cues would the nurse expect to identify when -Dyspnea
providing care for a patient with Impaired Airway -Thick sputum
Clearance? Select all that apply -Diminished bilateral breath sounds
-Chest pain
-Dyspnea
-Thick sputum
-Diminished bilateral breath sounds
-Decreased respiratory rate
Which terminology would the nurse document the -Dyspnea
patient saying "It's hard for me to breathe, and I feel
short-winded all the time?"
-Apnea
-Dyspnea
-Tachypnea
-Ventilatory fatigue
Answers
A nurse is caring for a patient receiving 5 L/min of -Add a humidifier bottle to the oxygen setup.
oxygen via nasal cannula. Which of the following
interventions is most appropriate?
-Switch to a non-rebreather mask.
-Add a humidifier bottle to the oxygen setup.
-Apply petroleum jelly to the patient's nose to reduce
dryness.
-Decrease the flow rate to 2 L/min to prevent oxygen
toxicity
A patient on a simple face mask is receiving 4 L/min of -Increase the flow rate to at least 6 L/min.
oxygen. Which action should the nurse take first?
-Increase the flow rate to at least 6 L/min.
-Switch the patient to a nasal cannula.
-Document the oxygen delivery and continue care.
-Turn off the oxygen and notify the provider.
A nurse walks into a room and notices a patient's non- -Increase the oxygen flow rate.
rebreather mask reservoir bag is deflated during
inhalation. What should the nurse do?
-Increase the oxygen flow rate.
-Switch to a nasal cannula.
-Document the findings.
-Lower the head of the bed.
Which oxygen delivery device is best for a patient who -OxyMask
requires high oxygen support but feels claustrophobic?
-Simple face mask
-Non-rebreather mask
-OxyMask
-Partial rebreather mask
A nurse finds petroleum jelly at a patient's bedside who is -Replace it with a water-based lubricant.
receiving 2 L/min of oxygen by nasal cannula. What is the
appropriate nursing action?
-Leave the petroleum jelly since the flow rate is low.
-Replace it with a water-based lubricant.
-Educate the patient to use it only on dry lips.
-Apply the jelly only around the tubing.
,A patient receiving 8 L/min oxygen via partial rebreather -Notify the provider immediately.
mask shows signs of drowsiness and confusion. What is
the nurse's priority action?
-Notify the provider immediately.
-Encourage the patient to rest.
-Decrease the oxygen flow rate.
-Reposition the mask to improve comfort.
Which oxygen delivery device allows the patient to eat, -OxyMask
drink, and speak without removing the device?
-Simple face mask
-Nasal cannula
-OxyMask
-Non-rebreather mask
Which of the following requires a provider's order before -Any oxygen therapy under normal (non-emergency) circumstances
initiating?
-Nasal cannula at 2 L/min in an emergency
-Any oxygen therapy under normal (non-emergency)
circumstances
-Humidifier attachment
-Pulse oximetry
A patient receiving oxygen therapy reports irritation -Use gauze or foam tubing protectors behind the ears.
behind the ears. What should the nurse do?
-Remove the cannula and discontinue oxygen.
-Apply petroleum jelly to the irritated area.
-Use gauze or foam tubing protectors behind the ears.
-Switch the delivery method to a face mask.
A patient on room air has a SpO₂ of 89%. The nurse -Apply oxygen at 2 L/min via nasal cannula per standing order or protocol.
should:
-Document the value and reassess in 4 hours.
-Apply oxygen at 2 L/min via nasal cannula per standing
order or protocol.
-Administer oxygen at 10 L/min via non-rebreather mask.
-Wait until the patient is symptomatic before taking
action.
A provider prescribes continuous oxygen at 2 L/min for a -Nasal cannula
patient with pneumonia. Which oxygen delivery method
should the nurse expect to use?
-Non-rebreather mask
-BiPAP
-Nasal cannula
-Ambu bag
, Which alterations of oxygenation and perfusion may -Increased respiratory rate
require supplemental oxygen therapy? Select all that -Low oxygen saturation
apply -Cyanosis
-Increased respiratory rate
-Decreased heart rate
-Low oxygen saturation
-Cyanosis
-Elevated hemoglobin
Which cues would the nurse expect to find in a patient -Dyspnea with exertion
with an inability to effectively pump blood to the tissues? -Fatigue
Select all that apply -Lower extremity edema
-Dyspnea with exertion
-Fatigue
-Lower extremity edema
-Crushing chest pain
-Nausea and vomiting
Which condition would the nurse suspect in a -Atelectasis
postsurgical patient who is experiencing dyspnea with
decreased breath sounds?
-Chronic obstructive pulmonary disease (COPD)
-Asthma
-Atelectasis
-Heart failure
Which cues would the nurse expect to identify when -Dyspnea
providing care for a patient with Impaired Airway -Thick sputum
Clearance? Select all that apply -Diminished bilateral breath sounds
-Chest pain
-Dyspnea
-Thick sputum
-Diminished bilateral breath sounds
-Decreased respiratory rate
Which terminology would the nurse document the -Dyspnea
patient saying "It's hard for me to breathe, and I feel
short-winded all the time?"
-Apnea
-Dyspnea
-Tachypnea
-Ventilatory fatigue
