1
COPD Practice NCLEX Test Questions with Detailed
Verified Answers (100% Correct Answers) /Already Graded
A+
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
Ans: 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
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
Ans: 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?
Approved By:
vPretest - Stuvia US
,2
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
Ans: 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
Ans: b
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
Ans: 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
Approved By:
vPretest - Stuvia US
, 3
B) Maintain current status
C) Require less supplemental oxygen
D) Show permanent improvement
Ans: 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
Ans: d
8. Which of the following physical assessment findings would the nurse expect
to find in a client with advanced COPD?
A) Increased anteroposterior chest diameter
B) Underdeveloped neck muscles
C) Collapsed neck veins
D) Increased chest excursion with respiration
Ans: a
9. When instructing clients on how to decrease the risk of COPD, the nurse
should emphasize which of the following behaviors?
A) Participate regularly in aerobic exercises
B) Maintain a high protein diet
C) Avoid exposure to people with known respiratory infections
D) Abstain from cigarette smoking
Approved By:
vPretest - Stuvia US
COPD Practice NCLEX Test Questions with Detailed
Verified Answers (100% Correct Answers) /Already Graded
A+
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
Ans: 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
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
Ans: 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?
Approved By:
vPretest - Stuvia US
,2
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
Ans: 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
Ans: b
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
Ans: 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
Approved By:
vPretest - Stuvia US
, 3
B) Maintain current status
C) Require less supplemental oxygen
D) Show permanent improvement
Ans: 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
Ans: d
8. Which of the following physical assessment findings would the nurse expect
to find in a client with advanced COPD?
A) Increased anteroposterior chest diameter
B) Underdeveloped neck muscles
C) Collapsed neck veins
D) Increased chest excursion with respiration
Ans: a
9. When instructing clients on how to decrease the risk of COPD, the nurse
should emphasize which of the following behaviors?
A) Participate regularly in aerobic exercises
B) Maintain a high protein diet
C) Avoid exposure to people with known respiratory infections
D) Abstain from cigarette smoking
Approved By:
vPretest - Stuvia US
