NUR 336; GAS EXCHANGE FINAL
EXAM PRACTICE QUESTIONS
WITH 100% CORRECT ANSWERS
. The patient has been wearing the partial no rebreather mask
for over 4 hours. When you go into the room you notice skin
breakdown on the patient's cheeks from the elastic band. What
intervention is needed?
a. Reposition the elastic band and apply cushions under the
band
b. Leave the elastic band where it is
c. Contact the physician
d. Apply lotion under the elastic band - correct answer-
A. Reposition the elastic band and apply cushions under the
band
Rationale: To prevent skin breakdown
**A 3-month-old infant is at increased risk for developing
anemia. The nurse would identify which principle contributing to
this risk?
,a. The infant is becoming more active.
b. There is an increase in intake of breast milk or formula.
c. The infant is unable to maintain an adequate iron intake.
d. A depletion of fetal hemoglobin occurs. - correct answer-
D. A depletion of fetal hemoglobin occurs
**A client is on mechanical ventilation and the clients spouse
wonders why ranitidine (Zantac) is needed since the client only
has lung problems. What response by the nurse is best?
a. It will increase the motility of the gastrointestinal tract.
b. It will keep the gastrointestinal tract functioning normally.
c. It will prepare the gastrointestinal tract for enteral feedings.
d. It will prevent ulcers from the stress of mechanical ventilation.
- correct answer- D. It will prevent ulcers from the stress
of mechanical ventilation
**A client is wearing a Venturi mask to deliver oxygen and the
dinner tray has arrived. What action by the nurse is best?
,a. Assess the clients oxygen saturation and, if normal, turn off
the oxygen.
b. Determine if the client can switch to a nasal cannula during
the meal.
c. Have the client lift the mask off the face when taking bites of
food.
d. Turn the oxygen off while the client eats the meal and then
restart it. - correct answer- B. Determine if the client can
switch to nasal cannula during the meal
**A client presents to the emergency department in sickle cell
crisis. What intervention by the nurse takes priority?
a. Administer oxygen.
b. Apply an oximetry probe.
c. Give pain medication.
d. Start an IV line. - correct answer- C. Give pain
medication
**A nurse assesses a client after a thoracentesis. Which
assessment finding warrants immediate action?
, a. The client rates pain as a 5/10 at the site of the procedure.
b. A small amount of drainage from the site is noted.
c. Pulse oximetry is 93% on 2 liters of oxygen.
d. The trachea is deviated toward the opposite side of the neck.
- correct answer- D. The trachea is deviated toward the
opposite side of the neck
**A nurse assesses a client who is prescribed fluticasone
(Flovent) and notes oral lesions. Which action should the nurse
take?
a. Encourage oral rinsing after fluticasone administration.
b. Obtain an oral specimen for culture and sensitivity.
c. Start the client on a broad-spectrum antibiotic.
d. Document the finding as a known side effect. - correct
answer- A. Encourage oral rinsing after fluticasone
administration
**A nurse teaches a client who has chronic obstructive
pulmonary disease. Which statements related to nutrition
should the nurse include in this clients teaching? (Select all that
apply.)
EXAM PRACTICE QUESTIONS
WITH 100% CORRECT ANSWERS
. The patient has been wearing the partial no rebreather mask
for over 4 hours. When you go into the room you notice skin
breakdown on the patient's cheeks from the elastic band. What
intervention is needed?
a. Reposition the elastic band and apply cushions under the
band
b. Leave the elastic band where it is
c. Contact the physician
d. Apply lotion under the elastic band - correct answer-
A. Reposition the elastic band and apply cushions under the
band
Rationale: To prevent skin breakdown
**A 3-month-old infant is at increased risk for developing
anemia. The nurse would identify which principle contributing to
this risk?
,a. The infant is becoming more active.
b. There is an increase in intake of breast milk or formula.
c. The infant is unable to maintain an adequate iron intake.
d. A depletion of fetal hemoglobin occurs. - correct answer-
D. A depletion of fetal hemoglobin occurs
**A client is on mechanical ventilation and the clients spouse
wonders why ranitidine (Zantac) is needed since the client only
has lung problems. What response by the nurse is best?
a. It will increase the motility of the gastrointestinal tract.
b. It will keep the gastrointestinal tract functioning normally.
c. It will prepare the gastrointestinal tract for enteral feedings.
d. It will prevent ulcers from the stress of mechanical ventilation.
- correct answer- D. It will prevent ulcers from the stress
of mechanical ventilation
**A client is wearing a Venturi mask to deliver oxygen and the
dinner tray has arrived. What action by the nurse is best?
,a. Assess the clients oxygen saturation and, if normal, turn off
the oxygen.
b. Determine if the client can switch to a nasal cannula during
the meal.
c. Have the client lift the mask off the face when taking bites of
food.
d. Turn the oxygen off while the client eats the meal and then
restart it. - correct answer- B. Determine if the client can
switch to nasal cannula during the meal
**A client presents to the emergency department in sickle cell
crisis. What intervention by the nurse takes priority?
a. Administer oxygen.
b. Apply an oximetry probe.
c. Give pain medication.
d. Start an IV line. - correct answer- C. Give pain
medication
**A nurse assesses a client after a thoracentesis. Which
assessment finding warrants immediate action?
, a. The client rates pain as a 5/10 at the site of the procedure.
b. A small amount of drainage from the site is noted.
c. Pulse oximetry is 93% on 2 liters of oxygen.
d. The trachea is deviated toward the opposite side of the neck.
- correct answer- D. The trachea is deviated toward the
opposite side of the neck
**A nurse assesses a client who is prescribed fluticasone
(Flovent) and notes oral lesions. Which action should the nurse
take?
a. Encourage oral rinsing after fluticasone administration.
b. Obtain an oral specimen for culture and sensitivity.
c. Start the client on a broad-spectrum antibiotic.
d. Document the finding as a known side effect. - correct
answer- A. Encourage oral rinsing after fluticasone
administration
**A nurse teaches a client who has chronic obstructive
pulmonary disease. Which statements related to nutrition
should the nurse include in this clients teaching? (Select all that
apply.)
