NSG 403 with 100 Respiratory NCLEX questions WITH CORRECT ANSWERS 100%, Exams of Nursing

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100 Respiratory NCLEX questions

1. Dr. Jones prescribes albuterol sulfate (Proventil) for a patient with newly diagnose asthma. When teaching the patient about this drug, the nurse should explain that it may cause:

A. Nasal congestion B. Nervousness C. Lethargy D. Hyperkalemia

2. Miriam, a college student with acute rhinitis sees the campus nurse because of excessive nasal drainage. The nurse asks the patient about the color of the drainage. In acute rhinitis, nasal drainage normally is:

A. Yellow B. Green C. Clear D. Gray

3. A male adult patient hospitalized for treatment of a pulmonary embolism develops respiratory alkalosis. Which clinical findings commonly accompany respiratory alkalosis?

A. Nausea or vomiting B. Abdominal pain or diarrhea C. Hallucinations or tinnitus D. Lightheadedness or paresthesia

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4. Before administering ephedrine, Nurse Tony assesses the patient’s history. Because of ephedrine’s central nervous system (CNS) effects, it is not recommended for:

A. Patients with an acute asthma attack B. Patients with narcolepsy C. Patients under age 6 D. Elderly patients

5. 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?

A. Kinking of the ventilator tubing B. A disconnected ventilator tube C. An endotracheal cuff leak D. A change in the oxygen concentration without resetting the oxygen level alarm

6. 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

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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

11. After undergoing a left pneumonectomy, a female patient has a chest tube in place for drainage. When caring for this patient, the nurse must:

A. Monitor fluctuations in the water-seal chamber B. Clamp the chest tube once every shift C. Encourage coughing and deep breathing D. Milk the chest tube every 2 hours

12. When caring for a male patient who has just had a total laryngectomy, the nurse should plan to:

A. Encourage oral feeding as soon as possible B. Develop an alternative communication method C. Keep the tracheostomy cuff fully inflated D. Keep the patient flat in bed

13. 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 three sides C. Preparing a chest tube insertion tray D. Preparing to start an I.V. line

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14. 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

15. A male patient’s X-ray result reveals bilateral white-outs, indicating adult respiratory distress syndrome (ARDS). This syndrome results from:

A. Cardiogenic pulmonary edema B. Respiratory alkalosis C. Increased pulmonary capillary permeability D. Renal failure

16. 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 B. Enforcing absolute bed rest C. Teaching the patient how to perform controlled coughing D. Administering prescribe sedatives regularly and in large amounts

17. Nurse Lei caring for a client with a pneumothorax and who has had a chest tube inserted notes continues gentle bubbling in the suction control chamber. What action is appropriate?

A. Do nothing, because this is an expected finding B. Immediately clamp the chest tube and notify the physician

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21. 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

22. Nurse Oliver is caring for a client immediately after removal of the endotracheal tube. The nurse 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 D. Respiratory rate 24 breaths/min

23. An emergency room nurse is assessing a male client who has sustained a blunt injury to the chest wall. Which of these signs would indicate the presence of a pneumothorax in this client?

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

24. 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?

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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

25. 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 C. Aerosol mask D. Tracheostomy collar

26. 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

27. A nurse performs an admission assessment on a female client with a diagnosis of tuberculosis. The nurse reviews the result of which diagnosis test that will confirm this diagnosis?

A. Bronchoscopy B. Sputum culture

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31. 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

32. 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

33. A nurse is suctioning fluids from a male client via a tracheostomy tube. When suctioning, the nurse must limit the suctioning time to a maximum of:

A. 1 minute B. 5 seconds C. 10 seconds D. 30 seconds

34. A nurse is suctioning fluids from a female client through an endotracheal tube. During the suctioning procedure, the nurse notes on the monitor that the heart rate is decreasing. Which if the following is the appropriate nursing intervention?

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A. Continue to suction B. Notify the physician immediately C. Stop the procedure and reoxygenate the client D. Ensure that the suction is limited to 15 seconds

35. A male adult client is suspected of having a pulmonary embolus. A nurse assesses the client, knowing that which of the following is a common clinical manifestation of pulmonary embolism?

A. Dyspnea B. Bradypnea C. Bradycardia D. Decreased respirations

36. 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.

37. 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 calls the physician who instructs the nurse to change the dosage to 0.45 mg/kg/hour. The nurse should:

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41. A female client must take streptomycin for tuberculosis. Before therapy begins, the nurse should instruct the client to notify the physician if which health concern occurs?

A. Impaired color discrimination B. Increased urinary frequency C. Decreased hearing acuity D. Increased appetite

42. A male client is asking the nurse a question regarding the Mantoux test for tuberculosis. The nurse should base her response on the fact that the:

A. Area of redness is measured in 3 days and determines whether tuberculosis is present. B. Skin test doesn’t differentiate between active and dormant tuberculosis infection. C. Presence of a wheal at the injection site in 2 days indicates active tuberculosis. D. Test stimulates a reddened response in some clients and requires a second test in 3 months.

43. A female adult client has a tracheostomy but doesn’t require continuous mechanical ventilation. When weaning the client from the tracheostomy tube, the nurse initially should plug the opening in the tube for:

A. 15 to 60 seconds. B. 5 to 20 minutes. C. 30 to 40 minutes. D. 45 to 60 minutes.

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44. Nurse Oliver observes constant bubbling in the water-seal chamber of a closed chest drainage system. What should the nurse conclude?

A. The system is functioning normally B. The client has a pneumothorax. C. The system has an air leak. D. The chest tube is obstructed.

45. A black client with asthma seeks emergency care for acute respiratory distress. Because of this client’s dark skin, the nurse should assess for cyanosis by inspecting the:

A. Lips. B. Mucous membranes. C. Nail beds. D. Earlobes.

46. For a male client with an endotracheal (ET) tube, which nursing action is most essential?

A. Auscultating the lungs for bilateral breath sounds B. Turning the client from side to side every 2 hours C. Monitoring serial blood gas values every 4 hours D. Providing frequent oral hygiene

47. The nurse assesses a male client’s respiratory status. Which observation indicates that the client is experiencing difficulty breathing?

A. Diaphragmatic breathing B. Use of accessory muscles

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A. Pleural effusion. B. Pulmonary edema. C. Atelectasis. D. Oxygen toxicity.

51. The nurse in charge is teaching a client with emphysema how to perform pursed-lip breathing. The client asks the nurse to explain the purpose of this breathing technique. Which explanation should the nurse provide?

A. It helps prevent early airway collapse. B. It increases inspiratory muscle strength. C. It decreases use of accessory breathing muscles. D. It prolongs the inspiratory phase of respiration.

52. After receiving an oral dose of codeine for an intractable cough, the male client asks the nurse, “How long will it take for this drug to work?” How should the nurse respond?

A. In 30 minutes B. In 1 hour C. In 2.5 hours D. In 4 hours

53. A male client suffers adult respiratory distress syndrome as a consequence of shock. The client’s condition deteriorates rapidly, and endotracheal (ET) intubation and mechanical ventilation are initiated. When the high-pressure alarm on the mechanical ventilator sounds, the nurse starts to check for the cause. Which condition triggers the high- pressure alarm?

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A. Kinking of the ventilator tubing B. A disconnected ventilator tube C. An ET cuff leak D. A change in the oxygen concentration without resetting the oxygen level alarm

54. A female client with chronic obstructive pulmonary disease (COPD) takes anhydrous theophylline, 200 mg P.O. every 8 hours. During a routine clinic visit, the client asks the nurse how the drug works. What is the mechanism of action of anhydrous theophylline in treating a nonreversible obstructive airway disease such as COPD?

A. It makes the central respiratory center more sensitive to carbon dioxide and stimulates the respiratory drive. B. It inhibits the enzyme phosphodiesterase, decreasing degradation of cyclic adenosine monophosphate, a bronchodilator. C. It stimulates adenosine receptors, causing bronchodilation. D. It alters diaphragm movement, increasing chest expansion and enhancing the lung’s capacity for gas exchange.

55. A male client with pneumococcal pneumonia is admitted to an acute care facility. The client in the next room is being treated for mycoplasmal pneumonia. Despite the different causes of the various types of pneumonia, all of them share which feature?

A. Inflamed lung tissue B. Sudden onset C. Responsiveness to penicillin. D. Elevated white blood cell (WBC) count

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C. Morphine. D. Albuterol (Proventil).

59. After undergoing a thoracotomy, a male client is receiving epidural analgesia. Which assessment finding indicates that the client has developed the most serious complication of epidural analgesia?

A. Heightened alertness B. Increased heart rate C. Numbness and tingling of the extremities D. Respiratory depression

60. The nurse in charge formulates a nursing diagnosis of Activity intolerance related to inadequate oxygenation and dyspnea for a client with chronic bronchitis. To minimize this problem, the nurse instructs the client to avoid conditions that increase oxygen demands. Such conditions include:

A. Drinking more than 1,500 ml of fluid daily. B. Being overweight. C. Eating a high-protein snack at bedtime. D. Eating more than three large meals a day.

61. An elderly client with pneumonia may appear with which of the following symptoms first?

1. Altered mental status and dehydration
2. fever and chills
3. Hemoptysis and dyspnea
4. Pleuritic chest pain and cough

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62. Which of the following pathophysiological mechanisms that occur in the lung parenchyma allows pneumonia to develop?

1. Atelectasis
2. Bronchiectasis
3. Effusion
4. Inflammation 63. A 7-year-old client is brought to the E.R. He’s tachypneic and afebrile and has a respiratory rate of 36 breaths/minute and a nonproductive cough. He recently had a cold. From his history, the client may have which of the following?
5. Acute asthma
6. Bronchial pneumonia
7. Chronic obstructive pulmonary disease (COPD)
8. Emphysema 64. Which of the following assessment findings would help confirm a diagnosis of asthma in a client suspected of having the disorder?
9. Circumoral cyanosis
10. Increased forced expiratory volume
11. Inspiratory and expiratory wheezing
12. Normal breath sounds 65. Which of the following types of asthma involves an acute asthma attack brought on by an upper respiratory infection?
13. Emotional
14. Extrinsic