HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 1 of 66
The nurse is reviewing discharge instructions with a client who is newly diagnosed with asthma. Which client statement indicates a need for further teaching?
A
I need to rinse my mouth after every use of my inhaler
B
I need to take my Singulair at least 1 hour before I eat
C
When inhaling two different medications, I should use the bronchodilator last
D
Because I am on theophylline, I will need to have therapeutic blood levels drawn
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 2 of 66
A pregnant client's leg is swollen and painful. What action by the nurse is best?
A
Assess the client's ankle-brachial index.
B
Elevate the client's leg above the heart.
C
Obtain an ice pack to provide comfort.
D
Prepare to teach about heparin sodium.
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HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 3 of 66
A diabetic patient's arterial blood gas (ABG) results are pH 7.28; PaCO2 34 mm Hg; PaO2 85 mm Hg; HCO3€“ 18 mEq/L. The nurse would expect which finding?
A
Intercostal retractions.
B
Kussmaul respirations.
C
Low oxygen saturation (SpO2).
D
Decreased venous O2 pressure.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 4 of 66
The nurse is educating a patient with chronic bronchitis about using a metered-dose inhaler (MDI). What statement by the patient indicates understanding?
A
I will shake the inhaler before each use.
B
I will exhale forcefully after inhaling the medication.
C
I will clean the inhaler once a month.
D
I should take the inhaler right before meals.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 5 of 66
The nurse provides discharge instructions to a patient who was hospitalized for pneumonia. Which statement, if made by the patient, indicates a good understanding of the instructions?
A
I will call my health care provider if I still feel tired after a week.
B
I will continue to do deep breathing and coughing exercises at home.
C
I will schedule two appointments for the pneumonia and influenza vaccines.
D
I will cancel my follow-up chest x-ray appointment if I feel better next week.
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HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 6 of 66
What can a nurse ask a patient to do before suctioning to prevent hypoxemia?
A
Sit in an upright position and cough.
B
Breathe normally for at least 5 minutes.
C
Lie flat in bed and practice relaxation.
D
Take several deep breaths.
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HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 7 of 66
Which intervention is most important for a patient with rib fractures to prevent complications?
A
Apply a rib binder to reduce pain.
B
Encourage shallow breathing to minimize pain.
C
Administer pain medication before deep breathing.
D
Restrict fluid intake to prevent pulmonary edema.
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HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 8 of 66
The nurse is teaching a client with pneumonia about the use of an incentive spirometer. What is the primary benefit of this intervention?
A
Increases oxygen saturation.
B
Prevents alveolar collapse.
C
Reduces respiratory rate.
D
Decreases mucus production.
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HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 9 of 66
The nurse is teaching a client with asthma about using a spacer with an inhaler. What is the primary benefit of using a spacer?
A
It delivers medication more effectively to the lungs.
B
It eliminates the need for deep breaths.
C
It prevents medication from causing oral thrush.
D
It reduces the frequency of inhaler use.
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HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 10 of 66
Which of the following is the first sign of dehydration?
A
Tachycardia
B
Restlessness
C
Thirst
D
Poor skin turgor
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HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 11 of 66
A nurse is caring for a patient who has just had a stroke. What is the priority intervention?
A
Perform a neurological assessment.
B
Administer clot-busting medications.
C
Monitor vital signs frequently.
D
Administer intravenous fluids.
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HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 12 of 66
The left ventricular preload can be estimated by measuring:
A
The central venous pressure
B
The pulmonary capillary wedge pressure
C
The mean arterial pressure
D
Cardiac output
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HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 13 of 66
In order to best minimize the risk of injury related to the administration and management of oxygen therapy within the patient's home, the nurse should first:
A
Inform the patient that oxygen is a highly combustible gas.
B
Warn the patient not to smoke in the presence of the oxygen therapy equipment.
C
Educate the patient and family regarding the safe use of oxygen therapy equipment.
D
Arrange for oxygen therapy equipment to be delivered directly to the patient's home.
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HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 14 of 66
A nurse cares for a client who has a pleural chest tube. What action would the nurse take to ensure safe use of this equipment?
A
Strip the tubing to minimize clot formation and ensure patency.
B
Secure tubing junctions with clamps to prevent accidental disconnections.
C
Connect the chest tube to wall suction as prescribed by the primary health care provider.
D
Keep padded clamps at the bedside for use if the drainage system is interrupted.
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HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 15 of 66
The nurse is teaching a client with asthma about using a peak flow meter. What is the primary purpose of this device?
A
To measure lung compliance.
B
To monitor the effectiveness of bronchodilators.
C
To identify early signs of worsening asthma.
D
To diagnose asthma severity.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 16 of 66
A nurse is preparing to administer oxygen to a client with a tracheostomy. Which equipment is most appropriate?
A
Nasal cannula.
B
Non-rebreather mask.
C
Tracheostomy collar.
D
Venturi mask.
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HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 17 of 66
Match the following: Freshwater
A
97 per cent of the water on earth
B
3 per cent of the water on earth
C
0.04 per cent in air
D
21 per cent in air
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HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 18 of 66
The nurse is teaching a client with chronic bronchitis about energy conservation techniques. Which strategy should the nurse include in the teaching?
A
Avoiding long periods of rest to prevent lung stiffness.
B
Performing high-intensity exercises to strengthen the lungs.
C
Sitting while performing tasks like cooking or ironing.
D
Taking deep breaths before any physical activity.
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HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 19 of 66
What is the first action for a patient with symptoms of pulmonary embolism?
A
Start O2
B
Order a spiral CT
C
Administer anticoagulants
D
Elevate the head of the bed
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HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 20 of 66
When listening to heart sounds 'Lub' represents closure of what valve(s)?
A
Mitral valve, Pulmonic valve, and Tricuspid valve
B
Mitral and Tricuspid valve
C
Pulmonic and Aortic valve
D
Aortic valve only
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HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 21 of 66
Which of the following oxygen delivery method can deliver $100% Oxygen at 15 LPM?
A
Nasal Cannula
B
Simple Face mask
C
Non Rebreather mask
D
Partial Rebreather mask
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HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 22 of 66
Postural drainage with percussion and vibration is ordered twice daily for a patient with chronic bronchitis. Which intervention should the nurse include in the plan of care?
A
Schedule the procedure 1 hour after the patient eats.
B
Maintain the patient in the lateral position for 20 minutes.
C
Give the prescribed albuterol (Ventolin HFA) before the therapy.
D
Perform percussion before assisting the patient to the drainage position.
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HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 23 of 66
The nurse teaches a patient about pursed-lip breathing. Which action by the patient would indicate to the nurse that further teaching is needed?
A
The patient inhales slowly through the nose.
B
The patient puffs up the cheeks while exhaling.
C
The patient practices by blowing through a straw.
D
The patient's ratio of inhalation to exhalation is 1:3.
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HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 24 of 66
This is the amount of heat required to raise the temperature of 1 kg water to 1 degree Celsius
A
Calorie
B
Joules
C
Metabolism
D
Basal metabolic rate
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HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 25 of 66
A nurse is caring for a patient with a history of myocardial infarction (MI). What is the priority intervention during the acute phase?
A
Administer aspirin.
B
Administer thrombolytic therapy.
C
Administer IV fluids.
D
Administer an oral anticoagulant.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 26 of 66
A patient who is experiencing an acute asthma attack is admitted to the emergency department. Which assessment should the nurse complete first?
A
Listen to the patient's breath sounds.
B
Ask about inhaled corticosteroid use.
C
Determine when the dyspnea started.
D
Obtain the forced expiratory volume (FEV) flow rate.
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HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 27 of 66
The nurse notes that a patient has incisional pain, a poor cough effort, and scattered coarse crackles after a thoracotomy. Which action should the nurse take first?
A
Assist the patient to sit upright in a chair.
B
Splint the patient's chest during coughing.
C
Medicate the patient with prescribed morphine.
D
Observe the patient use the incentive spirometer.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 28 of 66
A client with bronchitis is prescribed a nebulizer treatment. What should the nurse include in the teaching?
A
Hold your breath for 10 seconds after inhaling the medication.
B
Take deep, fast breaths during the treatment.
C
Clean the nebulizer equipment daily with alcohol.
D
Avoid drinking fluids immediately after the treatment.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 29 of 66
The nurse teaches a patient with asthma how to use a peak flow meter. Which statement indicates the need for additional instruction?
A
I will exhale as hard and fast as I can into the meter.
B
I should use the meter when I feel short of breath.
C
I will record my highest reading from three attempts.
D
I should use the meter before and after taking asthma medications.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 30 of 66
A patient with chronic bronchitis is prescribed a combination inhaler containing a corticosteroid and a long-acting beta-agonist. Which instruction should the nurse emphasize?
A
Use this inhaler during acute asthma attacks.
B
Rinse your mouth after using this inhaler.
C
Take this medication only when symptoms occur.
D
Shake the inhaler before use.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 31 of 66
The first action for a patient with TB and negative sputum smears should be what?
A
Change medications
B
Start directly observed therapy
C
Determine compliance with drug therapy
D
Order a chest x-ray
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HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 32 of 66
Which is the most effective intervention for preventing pneumonia in a hospitalized patient?
A
Administering prophylactic antibiotics.
B
Promoting early ambulation.
C
Providing frequent oral care.
D
Encouraging fluid intake.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 33 of 66
The nurse assesses a patient with a chest tube and notes continuous bubbling in the water-seal chamber. What is the best action?
A
Clamp the chest tube to stop air leakage.
B
Check for loose connections in the tubing.
C
Replace the chest tube drainage system.
D
Notify the healthcare provider immediately.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 34 of 66
A client with cystic fibrosis reports difficulty clearing thick mucus. Which intervention should the nurse prioritize?
A
Administering a mucolytic medication.
B
Encouraging increased fluid intake.
C
Performing chest physiotherapy.
D
Providing a low-sodium diet.
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HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 35 of 66
How should discharge teaching be planned for a hypoxemic patient?
A
Teach just before discharge
B
Have patient repeat instructions
C
Have caregiver present
D
Teach on admission day
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HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 36 of 66
What is the first nursing action for epistaxis?
A
Apply direct pressure
B
Apply cold packs
C
Cauterize the site
D
Insert nasal packing
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HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 37 of 66
It is the hair the lines the vestibule which function as a filtering mechanism for foreign objects
A
Cilia
B
Nares
C
Carina
D
Vibrissae
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HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 38 of 66
Which patient statement indicates a need for further teaching about asthma management?
A
I use my rescue inhaler before meals.
B
I avoid allergens that trigger my symptoms.
C
I take my long-acting inhaler twice daily as prescribed.
D
I carry my inhaler with me at all times.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 39 of 66
A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD). The patient is experiencing shortness of breath and fatigue. What is the priority action?
A
Administer pain relief.
B
Administer IV fluids.
C
Administer pain relief.
D
Administer a nebulized bronchodilator.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 40 of 66
The nurse obtains the following assessment data on an older patient who has influenza. Which information will be most important for the nurse to communicate to the health care provider?
A
Fever of 100.4°F (38°C)
B
Diffuse crackles in the lungs
C
Sore throat and frequent cough
D
Myalgia and persistent headache
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 41 of 66
A nurse is caring for a patient with a history of diabetes who is experiencing dizziness and lightheadedness. What is the priority action?
A
Administer insulin.
B
Administer insulin.
C
Administer insulin for hyperglycemia.
D
Administer glucose for hypoglycemia.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 42 of 66
The nurse assesses fatigue in an infant with acute bronchiolitis due to respiratory syncytial virus (RSV). Which nursing diagnosis would be most appropriate for the infant?
A
Acute Pain
B
Ineffective Tissue Perfusion
C
Activity Intolerance
D
Decreased Cardiac Output
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 43 of 66
Which nursing action is most important for preventing ventilator-associated pneumonia (VAP)?
A
Administering antibiotics as ordered.
B
Performing frequent oral care with chlorhexidine.
C
Turning the patient every 2 hours.
D
Keeping the patient sedated.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 44 of 66
A nurse is caring for a patient with pneumonia. The patients oxygen saturation is below normal. What abnormal respiratory process does this demonstrate?
A
changes in the alveolar-capillary membrane and diffusion
B
alterations in the structures of the ribs and diaphragm
C
rapid decreases in atmospheric and intrapulmonic pressures
D
lower-than-normal concentrations of environmental oxygen
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HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 45 of 66
A client who smokes is being discharged on nicotine replacement therapy. What teaching point will the nurse include?
A
Make a list of reasons why smoking is a bad habit.'
B
Rise slowly when getting out of bed in the morning.'
C
Smoking while taking this medication will increase your risk of a stroke.'
D
Stopping this medication suddenly increases your risk for a heart attack.'
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HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 46 of 66
The nurse observes a patient with a tracheostomy coughing up thick secretions. Which intervention should the nurse implement first?
A
Perform tracheal suctioning.
B
Encourage increased oral fluid intake.
C
Administer a mucolytic agent.
D
Teach the patient about humidification.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 47 of 66
A nurse is caring for a patient with chronic kidney disease (CKD) who is experiencing fluid retention. What is the priority action?
A
Administer diuretics.
B
Administer an opioid analgesic.
C
Administer fluids and electrolytes.
D
Administer a vasodilator.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 48 of 66
What is the BMI Of Budek, weighing 120 lbs and has a height of 5 feet 7 inches.
A
20
B
19
C
15
D
25
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HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 49 of 66
A patient with a chest tube has no drainage in the collection chamber for 2 hours. What is the nurse's best action?
A
Reposition the patient to promote drainage.
B
Clamp the chest tube and call the provider.
C
Assess for kinks or obstructions in the tubing.
D
Remove the chest tube and prepare for reinsertion.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 50 of 66
Which of the following factors will have the greatest influence on evaporation in a humidifier?
A
Time
B
Pressure
C
Surface area
D
Temperature
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HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 51 of 66
The nurse analyzes the results of a patient's arterial blood gases (ABGs). Which finding would require immediate action?
A
The bicarbonate level (HCO₃â») is 31 mEq/L.
B
The arterial oxygen saturation (SaOâ‚‚) is 92%.
C
The partial pressure of COâ‚‚ in arterial blood (PaCOâ‚‚) is 31 mm Hg.
D
The partial pressure of oxygen in arterial blood (PaOâ‚‚) is 59 mm Hg.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 52 of 66
A patient with COPD reports increased dyspnea. Which intervention should the nurse implement first?
A
Administer a prescribed bronchodilator.
B
Increase oxygen flow rate.
C
Assess arterial blood gases.
D
Encourage pursed-lip breathing.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 53 of 66
An occupational health nurse works at a manufacturing plant where there is potential exposure to inhaled dust. Which action recommended by the nurse is intended to prevent lung disease?
A
Treat workers with pulmonary fibrosis.
B
Teach about symptoms of lung disease.
C
Require the use of protective equipment.
D
Monitor workers for coughing and wheezing.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 54 of 66
Which of the following strategies would be best to switch a patient with a King LT airway to an ETT?
A
Insert the ETT under the King LT
B
Insert the ETT through the King LT
C
Use a nasal airway to angle the ETT through the vocal cords
D
Use an airway exchange catheter with a laryngoscope blade
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 55 of 66
A nurse is preparing a client for pulmonary function testing (PFT). What instruction is most important to provide?
A
Avoid bronchodilators for 6 hours before the test.
B
Refrain from eating or drinking for 8 hours before the test.
C
Perform light exercise 1 hour before the test.
D
Wear tight clothing to improve lung expansion.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 56 of 66
Your patient with newly diagnosed COPD is receiving a beta 2 agonist via SVN for the first time. Preassessment shows HR 75 bpm with post assessment HR elevated to 132 bpm. The RT should:
A
Stop the current treatment, continue with MDI/spacer of same medication
B
Continue the treatment until finished and document the findings of post assessment
C
Terminate the treatment and notify the physician
D
Switch to a different medication and continue treatment
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 57 of 66
Which of the following is a clinical manifestation of croup in pediatric patients?
A
Inspiratory stridor
B
Expiratory wheezing
C
Bradypnea
D
Pleuritic chest pain
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 58 of 66
A nurse is caring for a postoperative patient who is experiencing nausea. What is the priority intervention?
A
Administer antiemetics.
B
Notify the healthcare provider.
C
Administer oral rehydration solutions.
D
Administer a vasodilator.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 59 of 66
What treatment is required for CF-related diabetes?
A
Oral hypoglycemics
B
Low-calorie diet
C
Insulin therapy
D
Pancreatic enzymes
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 60 of 66
An older patient is receiving standard multidrug therapy for tuberculosis (TB). The nurse should notify the health care provider if the patient exhibits which finding?
A
Yellow-tinged sclera
B
Orange-colored sputum
C
Thickening of the fingernails
D
Difficulty hearing high-pitched voices
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 61 of 66
Which is a significant allotrope of oxygen in the atmosphere?
A
Dioxygen (Oâ‚‚)
B
Oxygen free radical (Oâ´Â»)
C
Tetra oxygen (Oâ´‚„)
D
Solid oxygen (Oâ´‚ˆ)
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 62 of 66
Which breathing technique helps decrease air trapping in COPD?
A
Deep breathing
B
Pursed-lip breathing
C
Rapid breathing
D
Shallow breathing
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 63 of 66
A nonmodifiable risk factor for lung disease is
A
Allergies.
B
Smoking.
C
Stress.
D
Asbestos exposur
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 64 of 66
A nurse is assessing a client who has heart failure. Which of the following findings indicates right-sided heart failure?
A
Pulmonary congestion
B
Peripheral edema
C
Elevated blood pressure
D
Decreased heart rate
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 65 of 66
A nurse is assessing a client who is being discharged. The nurse notes the client has regular and quiet breathing. The nurse should identify this breathing pattern as which of the following?
A
Normal breathing
B
Kussmaul breathing
C
Cheyne-Stokes breathing
D
Apnea
Select an option. Use Strike to cross one out.
HESI LPN · LPN Nursing Fundamentals Oxygenation Questions
Question 66 of 66
Vaccinations can help promote healthy oxygenation by
A
reducing the transmission of preventable diseases
B
increasing the exchange of oxygen for carbon dioxide in the lungs
C
promoting adequate blood circulation to organs and tissues
D
preventing all respiratory infections
Select an option. Use Strike to cross one out.
