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Questions and Answers
Which respiratory change in an older adult client requires further assessment by the nurse?
Which respiratory change in an older adult client requires further assessment by the nurse?
What is the primary nursing intervention when a client shows signs of respiratory alkalosis due to hyperventilation?
What is the primary nursing intervention when a client shows signs of respiratory alkalosis due to hyperventilation?
What should the nurse prioritize after a client returns post-therapeutic bronchoscopy?
What should the nurse prioritize after a client returns post-therapeutic bronchoscopy?
Why are turbinates significant in respiratory physiology?
Why are turbinates significant in respiratory physiology?
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In a client with suspected emphysema, which symptom necessitates further nursing evaluation?
In a client with suspected emphysema, which symptom necessitates further nursing evaluation?
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What is typically observed in a pulmonary function test of a patient with occupational lung disease?
What is typically observed in a pulmonary function test of a patient with occupational lung disease?
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What interpretation can be made from a client's breath sounds that include a wheeze?
What interpretation can be made from a client's breath sounds that include a wheeze?
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Which of the following represents an atypical finding in respiratory assessments for older adults?
Which of the following represents an atypical finding in respiratory assessments for older adults?
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Which classification describes a patient who can perform manual labor?
Which classification describes a patient who can perform manual labor?
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What symptom in a patient with pulmonary edema requires immediate attention?
What symptom in a patient with pulmonary edema requires immediate attention?
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When assessing a patient with asthma for breathing difficulties, what is the nurse specifically evaluating by auscultation?
When assessing a patient with asthma for breathing difficulties, what is the nurse specifically evaluating by auscultation?
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Which client in the emergency department requires the nurse's immediate attention?
Which client in the emergency department requires the nurse's immediate attention?
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What does the presence of crackles indicate during auscultation?
What does the presence of crackles indicate during auscultation?
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Which assessment finding suggests the function of the lungs is being compromised?
Which assessment finding suggests the function of the lungs is being compromised?
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How are rhonchi characterized in a patient assessment?
How are rhonchi characterized in a patient assessment?
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What characteristic of sputum might indicate a serious respiratory condition?
What characteristic of sputum might indicate a serious respiratory condition?
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What is the priority intervention for a client in the ICU after a left lower lobectomy?
What is the priority intervention for a client in the ICU after a left lower lobectomy?
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Which client should the nurse assess first after a report indicating an exacerbation of symptoms?
Which client should the nurse assess first after a report indicating an exacerbation of symptoms?
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What should be monitored for effectiveness in a client with chronic bronchitis?
What should be monitored for effectiveness in a client with chronic bronchitis?
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What is an appropriate instruction for a client with sarcoidosis to maximize gas exchange?
What is an appropriate instruction for a client with sarcoidosis to maximize gas exchange?
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Which medication should be administered first to a client with asthma and pneumonia experiencing shortness of breath?
Which medication should be administered first to a client with asthma and pneumonia experiencing shortness of breath?
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During an assessment for emphysema, which finding indicates a significant change in a client's condition?
During an assessment for emphysema, which finding indicates a significant change in a client's condition?
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In assessing a client with occupational lung disease, which symptom is most indicative of a progression in their condition?
In assessing a client with occupational lung disease, which symptom is most indicative of a progression in their condition?
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What is the purpose of conducting pulmonary function tests?
What is the purpose of conducting pulmonary function tests?
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Study Notes
Respiratory NCLEX Questions
- Question 1: The charge nurse assigns the client with pancreatitis needing a preoperative chest X-ray to the floated RN.
- Question 2: The RN is best suited to develop the teaching plan for a client with dyspnea.
- Question 3: Assessing breath sounds is best delegated to the experienced nursing assistant in the PACU.
- Question 4: The client with acute asthma (89% oxygen saturation) requires the most immediate assessment.
- Question 5: The client with newly diagnosed pleural effusion needs to be rescheduled.
- Question 6: The client who called in to report increased dyspnea is best to reschedule.
- Question 7: Hyperresonance to percussion of the chest is a concern for a client with emphysema.
- Question 8: The priority intervention in preparing a client for pulmonary function testing (PFT) is assessing if the client has been smoking recently, as smoking affects the PFT.
- Question 9: The client with dyspnea on exertion, when climbing stairs, but not at rest, is classified as Class II.
- Question 10: Pink frothy sputum requires immediate attention as it can indicate pulmonary edema.
- Question 11: Auscultating the client's chest assesses adventitious breath sounds.
- Question 12: The client with a new diagnosis (lung cancer) who has expressed anxiety requires the nurse's immediate attention.
- Question 13: Crackles are discontinuous popping sounds heard over the anterior chest.
- Question 14: Increased respiratory rate is a normal change in aging, not requiring further assessment.
- Question 15: The nurse should encourage the client to slow his breathing rate due to respiratory alkalosis.
- Question 16: The first intervention after a client has experienced a bronchoscopy is to place them on NPO status.
- Question 17: The turbinates increase the surface area of the nose for warming, filtering, and humidity.
- Question 18: The glottis is the opening in the vocal cords.
- Question 19: Gas exchange occurs in the alveoli.
- Question 20: A fever of 104° F (40° C) will shift the oxyhemoglobin dissociation curve to the right.
- Question 21: Family history regarding allergies is important in assessing clients with asthma.
- Question 22: The client with chest pain radiating to the shoulder is a priority, needing immediate attention by the nurse.
- Question 23: The client who has trouble breathing and has a SaO2 of 90% by pulse oximetry needs immediate evaluation.
- Question 24: The priority is to encourage the client to ask questions and verbalize concerns about their diagnosis.
- Question 25: The client should be taught about the CT scan to help confirm the diagnosis.
- Question 26: The priority intervention is to administer oxygen.
- Question 27: The major underlying concern when a client experiences shortness of breath and anxiety after a thoracentesis is a possible pneumothorax.
- Question 28: The assistant needs to be vigilant for bright red blood, rapid seeping through the dressing.
- Question 29: The nurse should first determine the cause of the airway obstruction.
- Question 30: Alcohol and tobacco use are the major risk factors for head and neck cancer.
- Question 31: The nurse should implement a picture board for communication for a non-English speaking client.
- Question 32: Tachypnea requires immediate action.
- Question 33: The client with posterior nasal bleeding requires immediate intervention.
- Question 34: The nurse should question the order to give ibuprofen 800 mg for pain in a client with nasal packing.
- Question 35: The first priority for a client with facial trauma is bleeding.
- Question 36: The client's body is eliminating carbon dioxide, triggering the client to wake and breathe.
- Question 37: The client's statement about "I can clean the stoma with soap and water" indicates understanding of the procedure.
- Question 38: The nurse's first action when suctioning a client with an ET tube is preoxygenation.
- Question 39: The client's statement " I really will miss the taste of my favorite food" indicates the need for further teaching about the laryngectomy procedure.
- Question 40: The client with epistaxis (nosebleed) currently taking warfarin is appropriate for a nurse with minimal ED experience.
- Question 41: The priority action when a nurse hears a high-pressure alarm during mechanical ventilation is to assess for a possible tension pneumothorax.
- Question 42: Administering preoperative antibiotics and anxiolytics is within the LPN/LVN scope.
- Question 43: The priority action is to give oxygen to maintain an oxygen saturation greater than 93%.
- Question 44: The most important action for a client undergoing a laryngectomy is to establish a communication method, such as a Magic Slate or alphabet board.
- Question 45: The nurse should teach the mother that a client should have cutters in case they vomit and the wires need to be severed.
- Question 46: The first action the nurse should take for a client returning from a bronchoscopy and reporting ongoing daytime sleepiness is to assess whether the client consistently used their CPAP at night.
- Question 47: The client who just completed 2-day radiation for laryngeal cancer is likely to be prescribed diazepam (Valium).
- Question 48: The best pain management option for a client 1-day post-laryngectomy is IV morphine.
- Question 49: Liquid NSAIDs are best used as an adjunct to a narcotic for pain relief in clients who can take oral nutrition.
- Question 50: The best recommendation for a client with hoarseness from overuse is complete voice rest.
- Question 51: Fluoride gel trays are used to prevent radiation scatter.
- Question 52: The nurse's first action for a client with a dusky-colored flap is to contact the surgeon and alert them as a possible return to the OR is needed.
- Question 53: The client with acute asthma on 60% oxygen via a non-rebreather mask is best suited for a nurse with pediatric experience; an experienced nurse cares for other clients.
- Question 54: Auscultating for breath sounds is something the RN can delegate to an assistant.
- Question 55: The priority intervention for a client just admitted to the ICU after a left lower lobectomy is adjusting the oxygen flow rate at 93-100% saturation.
- Question 56: The client needs to be assessed who has elevated temperature, elevated respiratory rate, and who has a diagnosis of cystic fibrosis.
- Question 57: The priority medication for a client with asthma pneumonia shortness of breath is an inhaler with short acting beta-agonists.
- Question 58: The rationale for prescribing mucolytics is to thin secretions for easier expectoration.
- Question 59: The client needs education on Montelukast (Singulair), as it is a long term medication.
- Question 60: The client's rescue inhaler is a short acting beta agonist.
- Question 61: Does not apply to the text.
- Question 62: The priority action is to assure no open flames or combustion hazards are in the client's room.
- Question 63: The client will need 1-2 liters oxygen by nasal cannula to relieve hypoxemia/hypercapnia.
- Question 64: Clients with CF are at increased risk for infection and Burkholderia cepacia.
- Question 65: Gentle bubbling in the water seal chamber is considered normal during exhalation or coughing.
- Question 66: The quickest compliance is encouraging proper building ventilation.
- Question 67: The client indicates understanding if they state that they need to carry a rescue inhaler for asthma attacks.
- Question 68: Responding with the client's empathetic situation is the priority, acknowledging COPD is difficult, encouraging the client and family, and discussing disease progression.
- Question 69: An appropriate answer would be "I don't need to use my oxygen all the time".
- Question 70: The client may be symptom free but is still considered at risk for exacerbations.
- Question 71: Cigarette smoking is the biggest risk factor for lung cancer and COPD.
- Question 72: The best indicator of success in improving airflow in a client with restrictive breathing issues is 92% SpO2 after ambulation.
- Question 73: The client with an elevated peak flow reading of 82% of their personal best measurement falls in the green zone for asthma.
- Question 74: A client with cancer experiencing treatment effects should avoid direct sun exposure due to increased skin sensitivity in the area of radiation.
- Question 75: The nurse's first response to a client's chest burning following a chest tube insertion is to assess ABC's.
- Question 76: The client with a history of diabetes and leg cellulitis presents the highest risk for a pulmonary embolism.
- Question 77: The 25-year-old woman who frequently flies to different countries has the highest risk for a pulmonary embolism.
- Question 78: Possible symptoms of a pulmonary embolism include dizziness, fainting, shortness of breath, and inspiratory chest pain.
- Question 79: The priority client problem for a PE is restoring adequate oxygenation.
- Question 80: The nurse should correct the student who states "You will receive enoxaparin...".
- Question 81: The appropriate action for a client with a pulmonary embolism is to determine the cause of the situation.
- Question 82: The most effective intervention for a client with anxiety who has a PE is to stay with the client and provide oxygen and remain calm.
- Question 83: The nurse should assess the client's consumption of aspirin/salicylates.
- Question 84: The client with a diagnosed pulmonary embolism who is receiving IV heparin and has bright red hemoptysis is a high risk for respiratory decline and should be evaluated by the Rapid Response Team.
- Question 85: The clients at risk for respiratory failure are a client with a brainstem tumor, client with acute pancreatitis, client with spinal cord injury, and client on patient controlled analgesia.
- Question 86: The 54-year-old client with tracheal deviation and mechanical ventilation requires immediate intervention.
- Question 87: The priority action for a client experiencing a high pressure alarm during mechanical ventilation is to assess the ABCs (airway, breathing, and circulation).
- Question 88: The nurse should delegate keeping the client's head elevated to an assistive personnel (UAP).
- Question 89: The priorities of a client on mechanical ventilation include assessing the client's airway and breathing.
- Question 90: The client with a heparin infusion needs a daily platelet count to assess for possible thrombocytopenia.
- Question 91: The client picking at the bed covers needs to be assessed for adequate oxygenation.
- Question 92: Client with decreased breath sounds and hypoventilation needs intubation.
- Question 93: Decreasing nighttime interruptions and keeping the room calm will decrease ICU psychosis, as sleep is important for the client.
- Question 94: The nurse is assessing a client who is receiving mechanical ventilation for positive end-expiratory pressure and is exhibiting chest asymmetry.
- Question 95: The client with aspiration pneumonia is at the highest risk for developing ARDS.
- Question 96: The correct answer is suctioning is important to clear the lower airways to decrease oxygen demand.
- Question 97: The high-pressure alarm in a client receiving mechanical ventilation indicates a tension pneumothorax that may require immediate intervention.
- Question 98: The priority action for the nurse who is receiving a client with diabetic ketoacidosis is to correct the blood glucose level due to metabolic acidosis.
- Question 99: The proper action for a client with arterial blood gases of pH 7.30, PCO2 60, Po2 80, HCO3 24 and O2 sat 96% is to encourage the client using the incentive spirometer and coughing.
- Question 100: The unlicensed assistive person can place a peripheral pulse oximeter for continuous readings.
- Question 101: The priority intervention is cardiac monitoring in a client with metabolic acidosis.
- Question 102: The nurse should assess for metabolic acidosis in a client with septic shock.
- Question 103: A client with metabolic acidosis requires assessment of the lactate levels.
- Question 104: The priority concern for a client with oxygen saturation of 88% is to support them with mechanical ventilation to increase oxygen saturation.
- Question 105: Kussmaul respirations are associated with metabolic acidosis.
- Question 106: The first action for a client with panic attack and low O2 levels is to provide oxygen.
- Question 107: Maintain blood glucose levels within normal limits within the diabetes client's care.
- Question 108: The client taking the antihistamine medicine who presents with the blood gas results needs an assessment.
- Question 109: The highest risk for respiratory acidosis in this group of clients is the person who smokes cigarettes due to impaired gas exchange in the lungs.
- Question 110: Does not apply to the text.
- Question 111: The priority is to apply oxygen as prescribed by the physician.
- Question 112: The nurse should teach "Do not drive after taking this medication" when educating a client with first-generation antihistamines.
- Question 113: The best instruction for a client using expectorants is to increase fluid intake.
- Question 114: The immediate action for a client who is coughing with "stuff" in their lungs is to adminster guaifenesin.
- Question 115: Educating the client is to switch to a nonsedating antihistamine is best, as first-generation antihistamine (Benadryl) can cause sedation.
- Question 116: The client's worsening nasal congestion with Afrin use indicates overuse. The best response should be to advise against overuse and follow the manufacturer's recommended use.
- Question 117: The client understanding beclomethasone diproprionate is the correct statement that the client will need to monitor their blood sugar and will not have systemic effects.
- Question 118: The most important teaching point for a client taking an antitussive medication is the potential for drowsiness and dizziness.
- Question 119: The best instruction to include when teaching clients about expectorants is to increase their fluid intake.
- Question 120: The priority nursing intervention when a client has a high theophylline level is to monitor the client for toxicity.
- Question 121: The nurse should emphasize the client reporting side effects of the beta agonist medication.
- Question 122: Salmeterol (Serevent) has a longer duration of action than albuterol (Proventil) but has a later onset.
- Question 123: The best action for an acute asthma attack is to administer a short-acting beta 2 agonist.
- Question 124: Oral rinsing the mouth after inhaling the drug flunisolide (AeroBid) helps control oral candidiasis.
- Question 125: The best action by the nurse is to teach the parent how to hold the inhaler correctly.
- Question 126: The client with a history of chronic obstructive pulmonary disease is not a suitable candidate for epinephrine.
- Question 127: The proper sequence for administering ipratropium bromide, albuterol and beclomethasone is to administer the albuterol first, wait five minutes, and then administer the ipratropium followed by the beclomethasone, several minutes later.
- Question 128: Instructing the client to hold their breath for 10 seconds after using a metered-dose inhaler will allow for medication to be absorbed in the bronchial tree.
- Question 129: The best way to determine a client is receiving a therapeutic effect of acetylcysteine is to observe liquefaction of bronchial secretions.
- Question 130 Important teaching for a client on albuterol is to monitor their blood glucose levels frequently.
- Question 131: The most important teaching for a client prescribed ipratropium and cromolyn sodium is to take the ipratropium 5 minutes before the other medication.
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Description
This quiz focuses on respiratory assessments and interventions for older adult clients, including the identification of key symptoms and the interpretation of pulmonary function tests. It assesses knowledge on nursing priorities after procedures and specific respiratory conditions. Perfect for nursing students and professionals looking to sharpen their skills in respiratory care.
