COPD Practice NCLEX Test Questions and Answers(A+ Solution guide)

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 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 - c4. 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