NCLEX -Respiratory Disorders Exam test with Answers Graded A+ Already
1. A client with a respiratory disorder has The client plans to eat the
anorexia secondary to fatigue and dys- largest meal of the day at a
pnea while eating. The nurse determines time when hungry.
that the client has followed the recom-
mendations to improve intake if which ac-
tion is taken?
2. The nurse provides instructions to a client "After maximal inspiration, I will
about the use of an incentive spirome- hold my breath for 10 seconds
ter. The nurse determines that the client and then exhale."
needs further teaching about its use if the
client makes which statement?
3. A client has undergone fluoroscopy-as- Absence of breath sounds in
sisted aspiration biopsy of a lung lesion. the right upper lobe
The nurse determines that the client is
experiencing complications from the pro-
cedure if the nurse makes which observa-
tion?
4. A nursing student prepares to instruct "I will have the client take a
a client to expectorate a sample of spu- shallow breath before cough-
tum that will be sent to the laboratory for ing."
Gram stain, culture, and sensitivity and
describes the procedure to the licensed
practical nurse (LPN), who is the prima-
ry nurse. The LPN corrects the student if
which incorrect description is provided?
5. The nurse is suctioning a client through a Stop the procedure and oxy-
tracheal tube. During the suctioning pro- genate the client.
cedure, the nurse notes on the cardiac
monitor that the heart rate has dropped 10
beats. Which should be the nurse's next
action?
6. The nurse checks the water seal chamber The system is functioning as
of a closed chest drainage system and expected.
notes fluctuations in the chamber. Based
,NCLEX -Respiratory Disorders Exam test with Answers Graded A+ Already
on this finding, the nurse makes which
determination?
7. A client with chronic obstructive pul- It could decrease the client's
monary disease (COPD) who is beginning oxygen-based respiratory dri-
oxygen therapy asks the nurse why the ve.
flow rate cannot be increased to more
than 2 L/min. The nurse responds that this
would be harmful because it could cause
which difficulty?
8. The nurse notes that a hospitalized client Report the findings.
has experienced a positive reaction to the
Mantoux tuberculin skin test. Which ac-
tion by the nurse is the priority?
9. The nurse is assessing a client diagnosed Headache especially in the
with sinusitis. Which are signs and symp- morning
toms of sinusitis? Select all that apply. Elevated white blood cell
(WBC) count
Feeling of heaviness over af-
fected areas
10. The nurse reinforces instructing a client The client is breathing through
how to use an incentive spirometer. Which the nose.
observation would indicate the ineffective
use of this equipment by the client?
11. The nurse is admitting a client to the nurs- Venting to the outside, six air
ing unit who is suspected of having tuber- exchanges per hour, and ultra-
culosis (TB). The nurse plans to admit the violet light
client to which type of room?
12. The nurse is assisting with monitoring the -50 mL of drainage in the
functioning of a chest-tube drainage sys- drainage-collection chamber
tem in a client who just returned from the -The drainage system is main-
recovery room after a thoracotomy with tained below the client's chest.
wedge resection. Which findings should -An occlusive dressing is in
the nurse expect to note? Select all that place over the chest-tube in-
apply. sertion site.
, NCLEX -Respiratory Disorders Exam test with Answers Graded A+ Already
-Fluctuation of water in the
tube of the water-seal chamber
during inhalation and exhala-
tion
13. The nurse reads a client's tuberculin skin The client has been exposed to
test as positive. The nurse notes that pre- tuberculosis.
vious tests were negative. The client be-
comes upset and asks the nurse what this
means. The nurse's response is based on
the understanding that which statement
is true for this client?
14. A client who is experiencing severe res- Expected and indicates that
piratory acidosis has a potassium level acidosis has driven hydrogen
of 6.2 mEq/L. The nurse determines this ions into the cell, forcing potas-
result is best characterized by which in- sium out
terpretation?
15. The nurse determines that which client is A client with pancreatitis and
at greatest risk for development of acute gram-negative sepsis
respiratory distress syndrome (ARDS)?
16. A client with acquired immunodeficien- Dyspnea
cy syndrome (AIDS) has become infected
with histoplasmosis. The nurse monitors
the client for which signs and symptoms?
17. A client reports the chronic use of nasal The protective mechanism of
sprays. The nurse reinforces instructions the nose may be damaged.
to this client about which piece of infor-
mation related to chronic use of nasal
sprays?
18. A client has a chest tube that is attached It would not increase the ac-
to a chest drainage system. The client tual suction in the system but
asks the nurse, "Can the tube come out would cause more air to be
faster if you turn the wall suction up high- pulled through the air vent and
er?" The nurse's response is based on suction chamber to the suction
source.
1. A client with a respiratory disorder has The client plans to eat the
anorexia secondary to fatigue and dys- largest meal of the day at a
pnea while eating. The nurse determines time when hungry.
that the client has followed the recom-
mendations to improve intake if which ac-
tion is taken?
2. The nurse provides instructions to a client "After maximal inspiration, I will
about the use of an incentive spirome- hold my breath for 10 seconds
ter. The nurse determines that the client and then exhale."
needs further teaching about its use if the
client makes which statement?
3. A client has undergone fluoroscopy-as- Absence of breath sounds in
sisted aspiration biopsy of a lung lesion. the right upper lobe
The nurse determines that the client is
experiencing complications from the pro-
cedure if the nurse makes which observa-
tion?
4. A nursing student prepares to instruct "I will have the client take a
a client to expectorate a sample of spu- shallow breath before cough-
tum that will be sent to the laboratory for ing."
Gram stain, culture, and sensitivity and
describes the procedure to the licensed
practical nurse (LPN), who is the prima-
ry nurse. The LPN corrects the student if
which incorrect description is provided?
5. The nurse is suctioning a client through a Stop the procedure and oxy-
tracheal tube. During the suctioning pro- genate the client.
cedure, the nurse notes on the cardiac
monitor that the heart rate has dropped 10
beats. Which should be the nurse's next
action?
6. The nurse checks the water seal chamber The system is functioning as
of a closed chest drainage system and expected.
notes fluctuations in the chamber. Based
,NCLEX -Respiratory Disorders Exam test with Answers Graded A+ Already
on this finding, the nurse makes which
determination?
7. A client with chronic obstructive pul- It could decrease the client's
monary disease (COPD) who is beginning oxygen-based respiratory dri-
oxygen therapy asks the nurse why the ve.
flow rate cannot be increased to more
than 2 L/min. The nurse responds that this
would be harmful because it could cause
which difficulty?
8. The nurse notes that a hospitalized client Report the findings.
has experienced a positive reaction to the
Mantoux tuberculin skin test. Which ac-
tion by the nurse is the priority?
9. The nurse is assessing a client diagnosed Headache especially in the
with sinusitis. Which are signs and symp- morning
toms of sinusitis? Select all that apply. Elevated white blood cell
(WBC) count
Feeling of heaviness over af-
fected areas
10. The nurse reinforces instructing a client The client is breathing through
how to use an incentive spirometer. Which the nose.
observation would indicate the ineffective
use of this equipment by the client?
11. The nurse is admitting a client to the nurs- Venting to the outside, six air
ing unit who is suspected of having tuber- exchanges per hour, and ultra-
culosis (TB). The nurse plans to admit the violet light
client to which type of room?
12. The nurse is assisting with monitoring the -50 mL of drainage in the
functioning of a chest-tube drainage sys- drainage-collection chamber
tem in a client who just returned from the -The drainage system is main-
recovery room after a thoracotomy with tained below the client's chest.
wedge resection. Which findings should -An occlusive dressing is in
the nurse expect to note? Select all that place over the chest-tube in-
apply. sertion site.
, NCLEX -Respiratory Disorders Exam test with Answers Graded A+ Already
-Fluctuation of water in the
tube of the water-seal chamber
during inhalation and exhala-
tion
13. The nurse reads a client's tuberculin skin The client has been exposed to
test as positive. The nurse notes that pre- tuberculosis.
vious tests were negative. The client be-
comes upset and asks the nurse what this
means. The nurse's response is based on
the understanding that which statement
is true for this client?
14. A client who is experiencing severe res- Expected and indicates that
piratory acidosis has a potassium level acidosis has driven hydrogen
of 6.2 mEq/L. The nurse determines this ions into the cell, forcing potas-
result is best characterized by which in- sium out
terpretation?
15. The nurse determines that which client is A client with pancreatitis and
at greatest risk for development of acute gram-negative sepsis
respiratory distress syndrome (ARDS)?
16. A client with acquired immunodeficien- Dyspnea
cy syndrome (AIDS) has become infected
with histoplasmosis. The nurse monitors
the client for which signs and symptoms?
17. A client reports the chronic use of nasal The protective mechanism of
sprays. The nurse reinforces instructions the nose may be damaged.
to this client about which piece of infor-
mation related to chronic use of nasal
sprays?
18. A client has a chest tube that is attached It would not increase the ac-
to a chest drainage system. The client tual suction in the system but
asks the nurse, "Can the tube come out would cause more air to be
faster if you turn the wall suction up high- pulled through the air vent and
er?" The nurse's response is based on suction chamber to the suction
source.
