NR 224 Exam 2 Chamberlain
questions with answers
1. A nurse is assessing a client who has an acute
respiratory infection, increasing the risk for hypoxemia.
Which of the following findings are early indications that
should alert the nurse that the client is developing
hypoxia? (Select all that apply.)
A. Restlessness
B. Tachypnea
C. Bradycardia
D. Confusion
E. Hypertension - CORRECT ANSWERS ✔✔A. Restlessness
B. Tachypnea
D. Confusion
E. Hypertension
2. A provider is discharging a client who has a
prescription for home oxygen therapy via nasal cannula.
Client and family teaching by the nurse should include
which of the following instructions? (Select all that apply.)
,A. Apply petroleum jelly around and inside the nares.
B. Remove the nasal cannula during mealtimes.
C. Check the position of the cannula frequently.
D. Report any nausea or difficulty breathing.
E. Post "No Smoking" signs in prominent locations -
CORRECT ANSWERS ✔✔C. Check the position of the
cannula frequently.
D. Report any nausea or difficulty breathing.
E. Post "No Smoking" signs in prominent locations
3. A nurse is caring for a client who is having difficulty
breathing. The client is lying in bed and is already
receiving oxygen therapy via nasal cannula. Which of the
following interventions is the nurse's priority?
A. Increase the oxygen flow.
B. Assist the client to Fowler's position.
C. Promote removal of pulmonary secretions.
D. Obtain a specimen for arterial blood gases - CORRECT
ANSWERS ✔✔B. Assist the client to Fowler's position.
4. A nurse is preparing to perform endotracheal
suctioning for a client. The nurse should follow which of
the following guidelines? (Select all that apply.)
,A. Apply suction while withdrawing the catheter.
B. Perform suctioning on a routine basis every 2 to 3 hr.
C. Maintain medical asepsis during suctioning.
D. Use a new catheter for each suctioning attempt.
E. Apply suction for 10 to 15 seconds. - CORRECT
ANSWERS ✔✔A. Apply suction while withdrawing the
catheter.
D. Use a new catheter for each suctioning attempt.
E. Apply suction for 10 to 15 seconds.
5. A nurse is caring for a client who has a tracheostomy.
Which of the following actions should the nurse take
when providing tracheostomy care? (Select all that apply.)
A. Apply the oxygen source loosely if the SpO2 decreases
during the procedure.
B. Use surgical asepsis to remove and clean the inner
cannula.
C. Clean the outer cannula surfaces in a circular motion
from the stoma site outward.
D. Replace the tracheostomy ties with new ties.
E. Cut a slit in gauze squares to place beneath the tube
holder. - CORRECT ANSWERS ✔✔A. Apply the oxygen
, source loosely if the SpO2 decreases during the
procedure.
B. Use surgical asepsis to remove and clean the inner
cannula.
C. Clean the outer cannula surfaces in a circular motion
from the stoma site outward.
1. A nurse is teaching a client who reports stress urinary
incontinence. Which of the following instructions should
the nurse include? (Select all that apply.)
A. Limit total daily fluid intake.
B. Decrease or avoid caffeine.
C. Take calcium supplements.
D. Avoid drinking alcohol.
E. Use the Credé maneuver - CORRECT ANSWERS ✔✔B.
Decrease or avoid caffeine.
D. Avoid drinking alcohol.
2. A client who has an indwelling catheter reports a need
to urinate. Which of the following actions should the
nurse take?
questions with answers
1. A nurse is assessing a client who has an acute
respiratory infection, increasing the risk for hypoxemia.
Which of the following findings are early indications that
should alert the nurse that the client is developing
hypoxia? (Select all that apply.)
A. Restlessness
B. Tachypnea
C. Bradycardia
D. Confusion
E. Hypertension - CORRECT ANSWERS ✔✔A. Restlessness
B. Tachypnea
D. Confusion
E. Hypertension
2. A provider is discharging a client who has a
prescription for home oxygen therapy via nasal cannula.
Client and family teaching by the nurse should include
which of the following instructions? (Select all that apply.)
,A. Apply petroleum jelly around and inside the nares.
B. Remove the nasal cannula during mealtimes.
C. Check the position of the cannula frequently.
D. Report any nausea or difficulty breathing.
E. Post "No Smoking" signs in prominent locations -
CORRECT ANSWERS ✔✔C. Check the position of the
cannula frequently.
D. Report any nausea or difficulty breathing.
E. Post "No Smoking" signs in prominent locations
3. A nurse is caring for a client who is having difficulty
breathing. The client is lying in bed and is already
receiving oxygen therapy via nasal cannula. Which of the
following interventions is the nurse's priority?
A. Increase the oxygen flow.
B. Assist the client to Fowler's position.
C. Promote removal of pulmonary secretions.
D. Obtain a specimen for arterial blood gases - CORRECT
ANSWERS ✔✔B. Assist the client to Fowler's position.
4. A nurse is preparing to perform endotracheal
suctioning for a client. The nurse should follow which of
the following guidelines? (Select all that apply.)
,A. Apply suction while withdrawing the catheter.
B. Perform suctioning on a routine basis every 2 to 3 hr.
C. Maintain medical asepsis during suctioning.
D. Use a new catheter for each suctioning attempt.
E. Apply suction for 10 to 15 seconds. - CORRECT
ANSWERS ✔✔A. Apply suction while withdrawing the
catheter.
D. Use a new catheter for each suctioning attempt.
E. Apply suction for 10 to 15 seconds.
5. A nurse is caring for a client who has a tracheostomy.
Which of the following actions should the nurse take
when providing tracheostomy care? (Select all that apply.)
A. Apply the oxygen source loosely if the SpO2 decreases
during the procedure.
B. Use surgical asepsis to remove and clean the inner
cannula.
C. Clean the outer cannula surfaces in a circular motion
from the stoma site outward.
D. Replace the tracheostomy ties with new ties.
E. Cut a slit in gauze squares to place beneath the tube
holder. - CORRECT ANSWERS ✔✔A. Apply the oxygen
, source loosely if the SpO2 decreases during the
procedure.
B. Use surgical asepsis to remove and clean the inner
cannula.
C. Clean the outer cannula surfaces in a circular motion
from the stoma site outward.
1. A nurse is teaching a client who reports stress urinary
incontinence. Which of the following instructions should
the nurse include? (Select all that apply.)
A. Limit total daily fluid intake.
B. Decrease or avoid caffeine.
C. Take calcium supplements.
D. Avoid drinking alcohol.
E. Use the Credé maneuver - CORRECT ANSWERS ✔✔B.
Decrease or avoid caffeine.
D. Avoid drinking alcohol.
2. A client who has an indwelling catheter reports a need
to urinate. Which of the following actions should the
nurse take?
