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NSG 403 NCLEX RESPIRATORY EXAM||2025-
2026||ACTUAL EXAM 100 QUESTIONS AND
CORRECT ANSWERS GRADED A+
- A male adult patient on mechanical ventilation is receiving pancuronium bromide (Pavulon), 0.01 mg/kg I.V. as needed. Which assessment finding indicates that the patient needs another pancuronium dose? A. Leg movement B. Finger movement C. Lip movement D. Fighting the ventilator - On auscultation, which finding suggests a right pneumothorax? CONFIDENTI AL A.Bilateral inspiratory and expiratory crackles B. Absence of breaths sound in the right thorax C. Inspiratory wheezes in the right thorax D. Bilateral pleural friction rub. - Rhea, confused and short breath, is brought to the emergency department by a family member. The medical history reveals chronic bronchitis and hypertension. To learn more about the current respiratory problem, the doctor orders a chest x-ray and arterial blood gas (ABG) analysis. When reviewing the ABG report, the nurses sees many abbreviations. What does a lowercase “a” in
ABG value present? A.Acid-base balance B. Arterial Blood C. Arterial oxygen saturation D. Alveoli
- A male patient is admitted to the healthcare facility for treatment of chronic obstructive pulmonary disease. Which nursing diagnosis is most important for this patient? A. Activity intolerance related to fatigue CONFIDENTI AL B. Anxiety related to actual threat to health status C.Risk for infection related to retained secretions D. Impaired gas exchange related to airflow obstruction - Nurse Ruth assessing a patient for tracheal displacement should know that the trachea will deviate toward the: A. Contralateral side in a simple pneumothorax B. Affected side in a hemothorax C. Affected side in a tension pneumothorax D. Contralateral side in hemothorax - After undergoing a left pneumonectomy, a female patient has a chest tube in place for drainage. When caring for this patient, the
- A male patient has a sucking stab wound to the chest. Which action should the nurse take first? A. Drawing blood for a hematocrit and hemoglobin level B. Applying a dressing over the wound and taping it on threesides C. Preparing a chest tube insertion tra D. Preparing to start an I.V. line - For a patient with advanced chronic obstructive pulmonary disease (COPD), which nursing action best promotes adequate gas exchange? A. Encouraging the patient to drink three glasses of fluid daily B. Keeping the patient in semi-Fowler’s position C. Using a high-flow venture mask to deliver oxygen as prescribe D. Administering a sedative, as prescribe - A male patient’s X-ray result reveals bilateral white-outs, indicating adult respiratory distress syndrome (ARDS). This syndrome results from: CONFIDENTI AL A. Cardiogenic pulmonary edema B. Respiratory alkalosis C. Increased pulmonary capillary permeability D. Renal failure - For a female patient with chronic obstructive pulmonary
disease, which nursing intervention would help maintain a patent airway? A. Restricting fluid intake to 1,000 ml per day
- Nurse Reynolds caring for a client with a chest tube turns the client to the side, and the chest tube accidentally disconnects. The initial nursing action is to: A. Call the physician B. Place the tube in bottle of sterile water C. Immediately replace the chest tube system D. Place a sterile dressing over the disconnection site
- A nurse is assisting a physician with the removal of a chest tube. The nurse should instruct the client to: A.Exhale slowly B. Stay very still C. Inhale and exhale quickly D. Perform the Valsalva maneuver - While changing the tapes on a tracheostomy tube, the male client coughs and tube is dislodged. The initial nursing action is to: A. Call the physician to reinsert the tube B. Grasp the retention sutures to spread the opening C. Call the respiratory therapy department to reinsert the tracheotomy D. Cover the tracheostomy site with a sterile dressing to prevent infection - Nurse Oliver is caring for a client immediately after removal of the endotracheal tube. The nur CON s FIDENTIAL e reports which of the following signs immediately if experienced by the client? A. Stridor B. Occasional pink-tinged sputum C.A few basilar lung crackles on the right
A. A low respiratory rate B. Diminished breath sounds C.The presence of a barrel chest D. A sucking sound at the site of injury
- Nurse Reese is caring for a client hospitalized with acute exacerbation of chronic obstructive pulmonary disease. Which of the following would the nurse expect to note on assessment of this client? A. Hypocapnia B. A hyperinflated chest noted on the chest x-ray C.Increased oxygen saturation with exercise D. A widened diaphragm noted on the chest x-ray - An oxygen delivery system is prescribed for a male client with chronic obstructive pulmonary disease to deliver a precise oxygen concentration. Which of the following types of oxygen delivery systems would the nurse anticipate to be prescribed? A. Face tent B. Venturi mask CONFIDENTI AL C. Aerosol mask D. Tracheostomy collar - Blessy, a community health nurse is conducting an educational session with community members regarding
tuberculosis. The nurse tells the group that one of the first symptoms associated with tuberculosis is: A. Dyspnea B. Chest pain C.A bloody, productive cough D. A cough with the expectoration of mucoid sputum
dioxide elimination
- A nurse is caring for a male client with acute respiratory
distress syndrome. Which of the following would the nurse expect to note in the client? A. Pallor B. Low arterial PaO C. Elevated arterial PaO D. Decreased respiratory rate
- A nurse is preparing to obtain a sputum specimen from a male client. Which of the following nursing actions will facilitate obtaining the specimen? A. Limiting fluid B. Having the client take deep breaths C. Asking the client to spit into the collection container D. Asking the client to obtain the specimen after eating - Nurse Joy is caring for a client after a bronchoscopy and biopsy. Which of the following signs, if noticed in the client, should be reported immediately to the physician? A. Dry cough B. Hematuria C. Bronchospasm D. Blood-streaked sputum E. Dr. Jones prescribes albuterol sulfate (Proventil) for a patient
C
l e a r D. Gray G.A male adult patient hospitalized for treatment of a pulmonary embolism develops respiratory alkalosis. Which clinical findings commonly accompany respiratory alkalosis?
- Nausea or vomiting
- Abdominal pain or diarrhea
- Hallucinations or tinnitus
- Lightheadedness or paresthesia H.Before administering ephedrine, Nurse Tony assesses the patient’s history. Because of ephedrine’s central nervous system (CNS) effects, it is not recommended for:
- Patients with an acute asthma attack
- Patients with narcolepsy
- Patients under age 6 D. Elderly patients
I. A female patient suffers adult respiratory distress syndrome as a consequence of shock. The patient’s condition deteriorates rapidly, and endotracheal intubation and mechanical ventilation are initiated. When the high-pressure alarm on the mechanical ventilator, alarm sounds, the nurse starts to check for the cause. Which condition triggers the high-pressure alarm?
- Kinking of the ventilator tubing
- A disconnected ventilator tube
embolism? A. Dyspnea B. Bradypnea C. Bradycardia D. Decreased respirations
- A slightly obese female client with a history of allergy- induced asthma, hypertension, and mitral valve prolapse is admitted to an acute care facility for elective surgery. The nurse obtains a complete history and performs a thorough physical examination, paying special attention to the cardiovascular and respiratory systems. When percussing the client’s chest wall,
the nurse expects to elicit: A. Resonant sounds. B. Hyperresonant sounds. C. Dull sounds. D. Flat sounds.
- A male client who weighs 175 lb (79.4 kg) is receiving aminophylline (Aminophyllin) (400 mg in 500 ml) at 50 ml/hour.The theophylline level is reported as 6 mcg/ml. The nurse callsthe physician who instructs the nurse to change the dosage to 0.45 mg/kg/hour. The nurse should: A. Question the order because it’s too low. B. Question the order because it’s too high. C. Set the pump at 45 ml/hour. D. Stop the infusion and have the laboratory repeat the theophylline measurement. - The nurse is teaching a male client with chronic bronchitis about breathing exercises. Which of the following should the nurse include in the teaching? A. Make inhalation longer than exhalation. B. Exhale through an open
