True or false: A pulse-oximeter reading should be interpreted alongside the patient’s symptoms and respiratory effort, rather than used as the only indicator of oxygenation.
1 Oxygenation Assessment and Nursing Interventions Online Quiz Questions
Use this free practice quiz with 20 questions to review 1 Oxygenation Assessment and Nursing Interventions, test your knowledge, and prepare for your next test or exam.
What clinical term describes low oxygen in the blood?
Provide oxygen or other support according to the patient’s prescribed plan and local .
What condition may involve low blood oxygen, high carbon dioxide, or both?
True or false: The absence of cyanosis rules out respiratory failure and means escalation can wait.
- A
True
- B
False
When evaluating oxygenation after an intervention, assess the SpO₂ rather than relying on one isolated reading.
A conscious patient with dyspnea is anxious and using accessory muscles. Which initial nursing response is most appropriate while arranging care?
- A
Position the patient upright if tolerated, stay with them, assess breathing and oxygenation, and provide prescribed or protocol-directed support.
- B
Place the patient flat and leave to collect supplies.
- C
Ask the patient to hold their breath to slow their breathing.
- D
Give a sedative before assessing the cause of the dyspnea.
A patient with asthma is struggling to speak and using accessory muscles. Wheezing heard earlier is now barely audible, and the patient appears drowsy. What is the priority response?
- A
Encourage coughing and reassess in 30 minutes.
- B
Treat the change as life-threatening deterioration, activate emergency support, and provide immediate care within protocol.
- C
Offer oral fluids to loosen secretions.
- D
Ask the patient to lie flat to conserve energy.
A patient with COPD has a prescribed oxygen target of 88–92%. Their SpO₂ is 86% on the current oxygen setting, and they are more breathless than earlier. What should the nurse do first?
- A
Remove oxygen because supplemental oxygen is unsafe for anyone with COPD.
- B
Assess breathing and equipment, promptly escalate the worsening hypoxemia, and adjust oxygen according to the prescription or protocol.
- C
Turn oxygen off and wait for an arterial blood gas result.
- D
Document the reading and wait until the next routine observation.
An older adult admitted with pneumonia becomes newly confused, breathes rapidly, and has a falling SpO₂. What is the best priority action?
- A
Reorient the patient and wait to see whether the confusion resolves.
- B
Promptly reassess respiratory status and vital signs, support oxygenation according to protocol, and escalate the acute change.
- C
Encourage the patient to walk to improve lung expansion.
- D
Offer food and fluids before reassessing.
A patient who recently had surgery suddenly develops shortness of breath, pleuritic chest pain, tachycardia, and light-headedness. What is the priority nursing action?
- A
Assist the patient to walk to assess exercise tolerance.
- B
Activate urgent medical evaluation, remain with the patient, and assess airway, breathing, circulation, and vital signs.
- C
Give an oral fluid bolus and reassess in an hour.
- D
Assume the symptoms are pneumonia because the patient is coughing.
A patient’s SpO₂ reading does not match their appearance or reported symptoms. Which actions are appropriate? Select all that apply.
- A
Check probe position and signal; reduce motion and address a cold or poorly perfused hand if possible.
- B
Consider skin pigmentation and nail polish when interpreting the reading.
- C
Rely on the pulse-oximeter value alone if it is within the device’s displayed range.
- D
Reassess the patient and consider further clinical evaluation if concern remains.
After an intervention for dyspnea, which findings together provide the most useful picture of the patient’s response? Select all that apply.
- A
Respiratory rate and effort, ability to speak, mental status, breath sounds, and vital signs.
- B
The SpO₂ trend and the patient’s response to treatment.
- C
SpO₂ alone, without other assessment findings.
- D
Skin color alone.
An older adult with a respiratory illness becomes newly confused and begins breathing rapidly. Their SpO₂ is falling. Explain why this combination is concerning and describe the nursing priorities for reassessment, support, and escalation.
True or false: After an intervention for dyspnea, the SpO₂ value alone provides the most useful picture of the patient's response.
- A
True
- B
False
A conscious patient with dyspnea is anxious and using accessory muscles. Which initial nursing intervention is most appropriate while assessing the patient and arranging care?
- A
Position the patient upright if tolerated, stay with them, assess breathing and oxygenation, and provide prescribed or protocol-directed support.
- B
Place the patient flat and leave to gather supplies.
- C
Encourage prolonged breath-holding to reduce the respiratory rate.
- D
Give a sedative before assessing the cause of the dyspnea.
A patient with COPD has a prescribed SpO₂ target range of 88–92% and a current reading of 86%. How many percentage points below the lower limit of the target range is the reading?
Which circulation-related condition at the probe site can affect a pulse-oximeter reading and should be addressed if possible?
A patient's SpO₂ reading does not match their appearance or reported symptoms. Which response is most appropriate?
- A
Check the probe position and signal, reduce motion, consider factors affecting the reading, and reassess the patient; seek further evaluation if concern remains.
- B
Accept the displayed number if it falls within the device's displayed range.
- C
Repeat the reading on the same finger without checking the signal or the patient's condition.
- D
Ignore the symptoms if the displayed SpO₂ appears reassuring.
A patient with COPD is more breathless than earlier and has an SpO₂ below the prescribed target on the current oxygen setting. What should the nurse do first?
- A
Remove the oxygen because supplemental oxygen is unsafe in COPD.
- B
Assess breathing and equipment, promptly escalate the worsening hypoxemia, and adjust oxygen according to the prescription or protocol.
- C
Turn the oxygen off and wait for an arterial blood gas result.
- D
Document the reading and recheck it at the next routine observation.
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