NUR 120 (MED/SURG - TEST 5) NCLEX STYLE PRACTICE
Questions with Correct Answers (Grade A+)
Question 1: The nurse is providing care to a client diagnosed with chronic obstructive pulmonary
disease (COPD). Which clinical manifestations are the direct result of altered perfusion? (Select all that
apply)
A) Bounding pulse
B) Pink nail beds
C) Cyanosis
D) Confusion
E) Wheezing **P-15**
Answer: C & D (Cyanosis) (Confusion)
Question 2: The nurse is providing care to an adult client with a long history of chronic obstructive
pulmonary disease (COPD). The client is admitted to the intensive care unit with a pneumothorax
(collapsed lung). Which interventions are appropriate for this client? (Select all that apply)
A) Elevate head of the bed
B) Administer a high rate of oxygen by nasal cannula
C) Prepare for a chest tube insertion
D) Administer prescribed antihypertensive medications
E) Administer intravenous caffeine per order **P-15**
Answer: A & C (Elevate head of the bed) (Prepare for a chest tube insertion)
Question 3: When auscultating the lungs of a client experiencing dyspnea, the nurse hears a
low-pitched sound that is continuous throughout inspiration. What does this lung sound indicate to the
nurse?
A) Narrow bronchi
B) Narrow trachea passages
C) Blocked large airway passages
D) Inflamed pleural surfaces **P-15**
Answer: C (Blocked large airway passages)
Question 4: The nurse is reviewing the results of laboratory tests conducted on a client admitted with
an alteration in respiratory function. Which laboratory finding would be most significant for this
client?
A) Hemoglobin level 14 g/dL
B) Oxygen saturation 96%
C) Serum sodium 140 mg/dL
D) Blood pH 7.32 **P-15**
Answer: D (Blood pH 7.32)
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, Question 5: The nurse is planning care for a client experiencing dyspnea and a subsequent activity
intolerance. Which action by the nurse is the most appropriate?
A) Encourage strenuous activity.
B) Consult a dietitian for low-calorie meals.
C) Space periods of activity with periods of rest.
D) Encourage dependence with activities of daily living. **P-15**
Answer: C (Space periods of activity with periods of rest)
Question 6: The nurse is conducting an assessment for a client on a medical-surgical unit. Which
findings are indicative of a client who is experiencing tachypnea? (Select all that apply)
A) Excessive rapid breathing
B) Chest pain
C) Rapid breathing at rest
D) Shallow breathing
E) Cyanosis **P-15**
Answer: A, C, & D (Excessive rapid breathing) (Rapid breathing at rest) (Shallow breathing)
Question 7: The charge nurse is observing a newly licensed nurse conduct an admission assessment on a
client with asthma. Which action by the newly licensed nurse requires immediate intervention?
A) The newly licensed nurse is observed obtaining the pulse oximetry reading 10 minutes after the client used
an albuterol inhaler.
B) The newly licensed nurse is observed continuing to ask the client questions regarding history while the
client demonstrates difficulty breathing and signs of respiratory impairment.
C) The newly licensed nurse is observed assessing the client's thoracic wall, skin, and nail beds.
D) The newly licensed nurse is observed auscultating breath sounds with a stethoscope. **P-15**
Answer: B (The newly licensed nurse is observed continuing to ask the client questions regarding history
while the client demonstrates difficulty breathing and signs of respiratory impairment)
Question 8: Which independent nursing interventions are appropriate for a client who is experiencing
an alteration in oxygenation? (Select all that apply)
A) Encouraging deep breathing exercises
B) Assisting with positioning
C) Providing suctioning
D) Prescribing bronchodilators
E) Monitoring activity intolerance **P-15**
Answer: A, B, C, & E (Encouraging deep breathing exercises) (Assisting with positioning) (Providing
suctioning) (Monitoring activity intolerance)
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Questions with Correct Answers (Grade A+)
Question 1: The nurse is providing care to a client diagnosed with chronic obstructive pulmonary
disease (COPD). Which clinical manifestations are the direct result of altered perfusion? (Select all that
apply)
A) Bounding pulse
B) Pink nail beds
C) Cyanosis
D) Confusion
E) Wheezing **P-15**
Answer: C & D (Cyanosis) (Confusion)
Question 2: The nurse is providing care to an adult client with a long history of chronic obstructive
pulmonary disease (COPD). The client is admitted to the intensive care unit with a pneumothorax
(collapsed lung). Which interventions are appropriate for this client? (Select all that apply)
A) Elevate head of the bed
B) Administer a high rate of oxygen by nasal cannula
C) Prepare for a chest tube insertion
D) Administer prescribed antihypertensive medications
E) Administer intravenous caffeine per order **P-15**
Answer: A & C (Elevate head of the bed) (Prepare for a chest tube insertion)
Question 3: When auscultating the lungs of a client experiencing dyspnea, the nurse hears a
low-pitched sound that is continuous throughout inspiration. What does this lung sound indicate to the
nurse?
A) Narrow bronchi
B) Narrow trachea passages
C) Blocked large airway passages
D) Inflamed pleural surfaces **P-15**
Answer: C (Blocked large airway passages)
Question 4: The nurse is reviewing the results of laboratory tests conducted on a client admitted with
an alteration in respiratory function. Which laboratory finding would be most significant for this
client?
A) Hemoglobin level 14 g/dL
B) Oxygen saturation 96%
C) Serum sodium 140 mg/dL
D) Blood pH 7.32 **P-15**
Answer: D (Blood pH 7.32)
Page 1
, Question 5: The nurse is planning care for a client experiencing dyspnea and a subsequent activity
intolerance. Which action by the nurse is the most appropriate?
A) Encourage strenuous activity.
B) Consult a dietitian for low-calorie meals.
C) Space periods of activity with periods of rest.
D) Encourage dependence with activities of daily living. **P-15**
Answer: C (Space periods of activity with periods of rest)
Question 6: The nurse is conducting an assessment for a client on a medical-surgical unit. Which
findings are indicative of a client who is experiencing tachypnea? (Select all that apply)
A) Excessive rapid breathing
B) Chest pain
C) Rapid breathing at rest
D) Shallow breathing
E) Cyanosis **P-15**
Answer: A, C, & D (Excessive rapid breathing) (Rapid breathing at rest) (Shallow breathing)
Question 7: The charge nurse is observing a newly licensed nurse conduct an admission assessment on a
client with asthma. Which action by the newly licensed nurse requires immediate intervention?
A) The newly licensed nurse is observed obtaining the pulse oximetry reading 10 minutes after the client used
an albuterol inhaler.
B) The newly licensed nurse is observed continuing to ask the client questions regarding history while the
client demonstrates difficulty breathing and signs of respiratory impairment.
C) The newly licensed nurse is observed assessing the client's thoracic wall, skin, and nail beds.
D) The newly licensed nurse is observed auscultating breath sounds with a stethoscope. **P-15**
Answer: B (The newly licensed nurse is observed continuing to ask the client questions regarding history
while the client demonstrates difficulty breathing and signs of respiratory impairment)
Question 8: Which independent nursing interventions are appropriate for a client who is experiencing
an alteration in oxygenation? (Select all that apply)
A) Encouraging deep breathing exercises
B) Assisting with positioning
C) Providing suctioning
D) Prescribing bronchodilators
E) Monitoring activity intolerance **P-15**
Answer: A, B, C, & E (Encouraging deep breathing exercises) (Assisting with positioning) (Providing
suctioning) (Monitoring activity intolerance)
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