Practice Questions ch 14

Question 1

The LPN/LVN is suctioning a patient through an endotracheal tube . What indicates proper technique ? ( Select all that apply.)

1. Preoxygenating the patient before suctioning
2. Dipping the suction catheter into sterile saline before suctioning
3. Using a clean catheter with each suctioning attempt
4. Withdrawing the catheter with the thumb continually covering the suction control vent
5. Suctioning the tube for at least 30 seconds with each suctioning attempt

Answer 1

1,2

Question 2

A patient’s physician told the patient that she was suffering from hypoxia . The patient asks the nurse what that means . Which statement by the nurse is most accurate ?

1. “Hypoxia means that there is a deficient amount of oxygen in your blood .”
2. It would be best if you asked your physician to explain hypoxia . “
3. “There is too much carbon dioxide in your blood . “
4. “Hypoxia means that the cells in your body’s tissues are not receiving enough oxygen .”

Answer 2

4

Question 3

What is the maximum time suction should be applied during nasotracheal suctioning ?

-1. 15 seconds
- 2. 20 seconds
-3. 30 seconds
-4. 45 seconds

Answer 3

1

Question 4

If a patient’s condition requires a very precise delivery of oxygen concentration , the nurse anticipates that the health care provider will order oxygen to be delivered via which device ?

1. Venturi mask
2. Simple face mask
3. Nasal cannula
4. Transtracheal cannula

Answer 4

1

Question 5

A patient is being discharged to home with an order for oxygen. The order reads, “Continuous O2 at 2 L per N/C.” What is the best explanation of this order for the nurse to give the patient?

1. “You will have oxygen on 24 hours a day at home by use of a nasal cannula, with the flow meter set at 2 liters.”
2. “You will need to wear your oxygen during the hours you are awake since your body uses more oxygen during the day. Your order is for 2 liters by nasal cannula.”
3. “Your doctor has ordered oxygen for you to use at home to keep your blood oxygen levels at a good level.”
4. “You will need to wear oxygen at home whenever you are feeling short of breath. Be sure to set your flowmeter at 2 liters and use your nasal cannula.”

Answer 5

1

Question 6

The home health nurse is visiting a patient who is on home oxygen therapy . What action by the patient and family members alerts the nurse that further teaching about home oxygen therapy is necessary (Select all that apply.)

1. The nurse notes a fire extinguisher in the kitchen .
   2.The patient’s brother -in-law is in a separate room smoking a cigarette.
2. The patient states that when shaving an electrical razor is used
3. The patient is using a water - soluble gel to help with lubricating dry mucous membranes
4. The oxygen tubing is coiled and secured with a rubber band to prevent the patient from tripping over the tubing.

Answer 6

2,3,5

Question 7

The nurse encourages the patient to drink an adequate amount of fluids to help with dry mucous membranes and to liquefy secretions . What fluids should the nurse include in this teaching ? (Select all that apply )

1. Coffee
   2 Milk
2. Water
3. Juice
4. Tea

Answer 7

3,4

Question 8

. The nurse is reviewing the arterial partial pressure of oxygen ( PaO) level on the patient’s arterial blood gas report Which level is most concerning to the nurse ?

1. PaO 75 mm Hg
2. PaO , 80 mm Hg
   3 PaO , 85 mm Hg
3. PaO, 90 mm Hg

Answer 8

1

normal 80-100

Question 9

The home health care nurse is observing the patient while he is filling the humidifier bottle attached to the oxygen tank . Which action by the patient demonstrates knowledge of this procedure ?

1. The patient fills the bottle with distilled water
2. The patient fills the bottle with tap water .
3. The patient fills the battle sterile normal saline .
4. The patient fills the bottle with spring water .

Answer 9

1

Question 10

The nurse observes the student nurse suction the patient with a tracheostomy. Which action by the student nurse requires the nurse to intervene? (Select all that apply)

1. The student preoxygenates the patient before beginning suctioning
2. The student suctions the patient for 30 seconds during each suctioning attempt.
3. The student uses tap water to clear the catheter tubing between suction attempts.
4. The student applies intermittent suction when withdrawing the suction catheter from the airway.
5. The student places the thumb over the suction control vent when advancing the catheter into the patient’s airway

Answer 10

2,3,5

Question 11

The health care provider has ordered oxygen at 100% via a nonrebreathing mask. The nurse evaluates that the mask is working properly when making which observation?

1. The reservoir bag collapses 50% when the patient inhales.
2. The reservoir bag collapses completely when the patient inhales
3. The reservoir bag remains nearly full when the patient inhales
4. The reservoir bag inflates when the patient inhales

Answer 11

3

Question 12

The nurse is preparing to perform tracheostomy care and suctioning What is the best order of actions when performing these two procedures? Place the steps in the correct order

1. The nurse performs tracheostomy suctioning.
2. The nurse changes the tracheostomy ties/strap
3. The nurse changes the dressing around the tracheostomy
4. The nurse cleans around the tracheostomy with prescribed solution.

Answer 12

1,4,3,2

Question 13

The nurse has just performed oropharyngeal suctioning. Which documentation is the most complete after this procedure?

1. “Suctioned patient using a Yankaur suction catheter. Large amount of mucus suctioned. Patient tolerated procedure well and is breathing better.”
2. “Performed oropharyngeal suctioning using Yankaur suction catheter. Moderate amount of thick green odorless, mucus suctioned. Tolerated procedure well and respirations are nonlabored.”
3. Oropharyngeal suctioning performed due to patient being unable to expectorate secretions. Used Yankaur suction catheter to perform procedure. Patient breathing better following suctioning.
4. “Patient requiring suctioning . Oropharyngeal suctioning performed.
   5.Patient unable to cough up thick mucus. Breathing improved after suctioning. Used a Yankaur suction catheter for procedure”

Answer 13

2

Question 14

14. The health care provider has ordered a patient diagnosed with pneumonia to have oxygen via a simple face mask. The nurse is aware that the patient will be receiving a Fi*O_{2} of what percentage depending on the flowmeter setting ?
15. 24\%-44\%
16. 35\%-55\%
17. 24%-55%
18. 60%-90%

Answer 14

2

Question 15

15. The nurse is assessing a patient who is displaying early signs of hypoxia . What signs and symptoms will the nurse observe ? (Select all that apply)
16. Restlessness
17. Increased pulse rate
18. Decreased blood pressure
19. Irregular apical pulse
20. Dyspnea

Answer 15

1,2,4,5

Question 16

Online practice 1-10

Answer 16

get right

ch 14

Question 17

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

Answer 17

Ati book ch 53

A,B,D,E

Question 18

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

Answer 18

Ati book ch 53

C,D,E

Question 19

. 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 .

Answer 19

Ati book ch 53

B

Question 20

A nurse is preparing to perform endotracheal Buctioning 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 .

Answer 20

Ati book ch 53

A,D,E

Question 21

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 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 .

Answer 21

Ati book ch 53

A.B,C