COPD Practice NCLEX Test Questions
and Answers 100% Pass
1. Which of the following interventions is most helpful in determining the need for
oxygen therapy in a client with chronic obstructive pulmonary disease?
A) Ask the client to tell the nurse when oxygen is needed
B) Assess the client's fatigue level
C) Use a pulse oximeter to determine oxygen saturation
D) Evaluate the client's hemoglobin level - ✔✔c
2. Oxygen is at the rate of 2 liters/minute through the nasal cannula is prescribed for a
client with chronic obstructive pulmonary disease. Which of the following best
describes why the oxygen therapy is maintained at relatively low concentration?
A) The oxygen will be lost at the client's nostrils if given at a higher level with a nasal
cannula
B) The client's long history of respiratory problems indicates that he would unable to
absorb oxygen at a higher rate
COPYRIGHT © 2025 BY KATELYN WHITMAN, ALL RIGHTS RESERVED 1
,C) The cells in the alveoli are so damaged by the client's long history of respiratory
problems that increased oxygen levels and reduced carbon dioxide levels likely will
cause the cells to burst
D) The client's respiratory center is used to high carbon dioxide and low oxygen levels
that changing these levels may eliminate his stimulus to breathe - ✔✔d
3. For a client with chronic obstructive pulmonary disease who has trouble raising
respiratory secretions, which of the following nursing measures would help reduce the
tenacity of secretions?
A) Ensuring the client's diet is low in salt
B) Ensuring that the client's oxygen therapy is continuous
C) Helping the client maintain a high fluid intake
D) Keeping the client in a semi-sitting position as much as possible - ✔✔c
4. Clients with chronic obstructive pulmonary disease may be bedridden at home and
get a little exercise. Which of the following is a normal physiologic reaction to
prolonged periods of bed rest and inactivity?
A) Increased sodium retention
B) Increased calcium excretion
C) Increased insulin use
D) Increased red blood cell production - ✔✔b
COPYRIGHT © 2025 BY KATELYN WHITMAN, ALL RIGHTS RESERVED 2
, 5. A client with chronic obstructive disease (COPD) reports steady weight loss and
being "too tired from just breathing to eat." Which of the following nursing diagnosis
would be most appropriate when planning nutritional interventions for this client?
A) Imbalanced nutrition: less than body requirements related to fatigue
B) Activity intolerance related to dyspnea
C) Weight loss related to COPD
D) Ineffective breathing pattern related to alveolar hypoventilation - ✔✔a
6. When developing a discharge plan to manage a patient with COPD, the nurse should
anticipate that the client will do which of the following?
A) Develop respiratory infections easily
B) Maintain current status
C) Require less supplemental oxygen
D) Show permanent improvement - ✔✔a
7. Which of the following outcomes would be appropriate for a client with COPD who
has been discharged home?
A) The client promises to do purse-lip breathing at home
B) The client states actions to reduce pain
C) The client states that he will use oxygen via a nasal cannula at 5 L/min
D) The client agrees to call the physician f dyspnea on exertion increases - ✔✔d
COPYRIGHT © 2025 BY KATELYN WHITMAN, ALL RIGHTS RESERVED 3
and Answers 100% Pass
1. Which of the following interventions is most helpful in determining the need for
oxygen therapy in a client with chronic obstructive pulmonary disease?
A) Ask the client to tell the nurse when oxygen is needed
B) Assess the client's fatigue level
C) Use a pulse oximeter to determine oxygen saturation
D) Evaluate the client's hemoglobin level - ✔✔c
2. Oxygen is at the rate of 2 liters/minute through the nasal cannula is prescribed for a
client with chronic obstructive pulmonary disease. Which of the following best
describes why the oxygen therapy is maintained at relatively low concentration?
A) The oxygen will be lost at the client's nostrils if given at a higher level with a nasal
cannula
B) The client's long history of respiratory problems indicates that he would unable to
absorb oxygen at a higher rate
COPYRIGHT © 2025 BY KATELYN WHITMAN, ALL RIGHTS RESERVED 1
,C) The cells in the alveoli are so damaged by the client's long history of respiratory
problems that increased oxygen levels and reduced carbon dioxide levels likely will
cause the cells to burst
D) The client's respiratory center is used to high carbon dioxide and low oxygen levels
that changing these levels may eliminate his stimulus to breathe - ✔✔d
3. For a client with chronic obstructive pulmonary disease who has trouble raising
respiratory secretions, which of the following nursing measures would help reduce the
tenacity of secretions?
A) Ensuring the client's diet is low in salt
B) Ensuring that the client's oxygen therapy is continuous
C) Helping the client maintain a high fluid intake
D) Keeping the client in a semi-sitting position as much as possible - ✔✔c
4. Clients with chronic obstructive pulmonary disease may be bedridden at home and
get a little exercise. Which of the following is a normal physiologic reaction to
prolonged periods of bed rest and inactivity?
A) Increased sodium retention
B) Increased calcium excretion
C) Increased insulin use
D) Increased red blood cell production - ✔✔b
COPYRIGHT © 2025 BY KATELYN WHITMAN, ALL RIGHTS RESERVED 2
, 5. A client with chronic obstructive disease (COPD) reports steady weight loss and
being "too tired from just breathing to eat." Which of the following nursing diagnosis
would be most appropriate when planning nutritional interventions for this client?
A) Imbalanced nutrition: less than body requirements related to fatigue
B) Activity intolerance related to dyspnea
C) Weight loss related to COPD
D) Ineffective breathing pattern related to alveolar hypoventilation - ✔✔a
6. When developing a discharge plan to manage a patient with COPD, the nurse should
anticipate that the client will do which of the following?
A) Develop respiratory infections easily
B) Maintain current status
C) Require less supplemental oxygen
D) Show permanent improvement - ✔✔a
7. Which of the following outcomes would be appropriate for a client with COPD who
has been discharged home?
A) The client promises to do purse-lip breathing at home
B) The client states actions to reduce pain
C) The client states that he will use oxygen via a nasal cannula at 5 L/min
D) The client agrees to call the physician f dyspnea on exertion increases - ✔✔d
COPYRIGHT © 2025 BY KATELYN WHITMAN, ALL RIGHTS RESERVED 3
