A
A nurse is caring for a client with tuberculosis (TB). What measure should be employed
when caring for the client?
a) Instruct the client to keep the doors of the room closed at night.
b) Ask the client to eat a diet rich in protein and vitamins A and C.
c) Take precautions to prevent transmission through the feco-oral route.
d) Dispose the infectious waste of the client in biohazardous waste receptacles.
B
tumor. The nurse instructs the client how to use an incentive spirometer to prevent postoperative
respiratory complications. Preventing which alteration is a major reason for the use of incentive
spirometry?
a) Streptococcus
b) Nasal polyps
c) Atelectasis
d) Bronchitis
C
Question: The nurse is caring for a client diagnosed with tuberculosis (TB) who is having a
thoracentesis performed to relieve breathing difficulty. For which rare, but serious, complication
should the nurse monitor the client?
a) Hypotension
b) Fluid retention
c) Pulmonary embolism
d) Pneumothorax
D
Question: The nurse is ambulating a client with chest tubes to the bathroom when the tube
becomes disconnected and falls on the floor. What is the priority action by the nurse?
a) Reconnect the tubing
b) Double clamp tube close to the chest wall
c) Allow the client to ambulate to the bathroom
d) Place the client in the supine position
B
Question: A client after cardiac arrest is receiving oxygen therapy via a mask. What unit should the
nurse use to document the amount of oxygen delivered?
a) Liters per minute
b) Milliliters per minute
c) Pounds per square inch
d) Liters per square inch
A
Question: The nurse is caring for hospitalized clients diagnosed with pneumonia. Which client is
most at risk for contracting Pneumocystis carinii pneumonia?
a) A 48-year-old man who is an alcoholic
b) An 80-year-old woman with COPD
c) A 50-year-old man with advanced HIV/AIDS infection
d) A 60-year-old woman with a swallowing disorder
C
Question: Which is a characteristic of a benign lung tumor?
a) Benign tumors usually cause fatigue, weight loss, and chest pains.
b) Lung scan confirms an abnormal shadow in the lung.
c) Smoking is the usual cause of a benign lung tumor.
d) Lung tumors are characterized on x-rays with smooth edges and sharp margins.
D
Question: A client is to undergo thoracentesis. What assessment finding is of most concern after
the procedure?
a) Respirations 22
b) Blood pressure 142/86 mm Hg
c) Respirations deep and regular
d) Fluid drainage from the thoracentesis site
D
stuffy nose. The nurse notes a red inflamed throat and slight fever which supports the diagnosis of
strep throat. Which test would be ordered to confirm this diagnosis?
a) Bronchoalveolar lavage
b) Pulmonary function test
c) Throat culture
10/5/2019 Homestead Schools, Inc. - NCLEX Tests : Answer Review
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d) Sputum specimen
C
Question: The nurse has assisted with the intubation of a client diagnosed with status
asthmaticus. What should the nurse do to verify proper placement of the endotracheal tube (ET)?
a) Palpate the neck.
b) Slightly pull on the tubing.
c) Obtain a chest x-ray.
d) Obtain a MRI.
C
Question: A nurse is preparing a client for a bronchoscopy. Which instruction is the most important
for the nurse to provide the client?
a) Avoid taking food 3 hours before the procedure.
b) Maintain a side-lying position after the bronchoscopy.
c) Cough out the mucus secretions after the procedure.
d) Start a soft, semisolid diet when the gag reflex returns.
B
Question: Which statement describes the condition referred to as bradypnea?
a) Difficulty breathing while lying down
b) Slower than normal respirations
c) Increase in depth of breaths
d) Increase in depth of breaths
B
Question: A client is diagnosed with hypoxemia. Which test would most likely be ordered to
determine oxygen deficiency in this client?
a) Chest x-ray
b) Computed tomography scan
c) Pulmonary angiography
d) Arterial blood gases
D
Question: A client has a positive tuberculin skin test. What action by the nurse is appropriate?
a) Administer another tuberculin skin test
b) Administer a tine test
c) Send the client for a chest x-ray
d) Prepare the client for a bronchoscopy
D
Question: Supplemental oxygen is able to be delivered to the cilent by several methods. Why do
clients prefer to use the nasal cannula?
a) The flow meter can be set as high as 10 L/min using the nasal cannula.
b) The nasal cannula is less drying to the nasal mucosa than other methods.
c) The nasal cannula is less confining than other methods
d) The nasal cannula is the most reliable method of oxygen administration
C
Question: The nurse is ordered to obtain a specimen from a client using Bronchoalveolar lavage.
Which disease is this test most often used to diagnose?
a) Pulmonary tuberculosis
b) COPD
c) Bronchitis
d) Pneumonia
A
Question: A nurse is caring for a client who has had a paracentesis performed to help relieve
dyspnea. For which adverse effect should the nurse monitor the client?
a) Hypervolemia
b) Punctured lung
c) Shock
d) Pulmonary edema
C
Question: A nurse is caring for a client diagnosed with pneumonia. What intervention should be
included in the client's nursing care plan?
a) Instruct the client to take shallow and timely breaths.
b) Restrict the client's fluid intake to juices with vitamin C.
c) Encourage the client to lie in the supine position a few hours a day.
d) Maintain orthopneic position when possible.
D
Question: The nurse is educating older adults in a senior citizens center about the signs and
symptoms of emphysema. Which is the first symptom of this respiratory alteration?
a) Leaning forward instead of lying down
b) Barrel chest
c) Contracting the neck muscles when breathing
d) Difficulty breathing following exertion
D
Question: The nurse is explaining to a client diagnosed with cystic fibrosis the goals of the oxygen
therapy being prescribed. Which is a therapeutic effect of oxygen administration?
a) It reverses high and low oxygen concentrations in the blood.
b) It increases the work of the respiratory system, allowing it to work more efficiently.
c) It decreases the heart's work in pumping blood and eases the heart's load.
d) It affects ventilatory drive control mechanisms and increases the stimulus to breathe.
C
Question: The nurse is caring for a client diagnosed with pneumonia. The nurse observes that the
client is experiencing breathing difficulty. What position will help to alleviate the client's dyspnea?
a) Lying supine with a single pillow
b) Sitting upright or in a semisitting position
c) Lying with the legs slightly elevated
d) Lying supine with head slightly lowered
B
Question: The nurse is assisting the respiratory therapist to prepare a client diagnosed with cystic
fibrosis for postural drainage. Which intervention is recommended for this procedure?
a) Have the client lie flat on the bed with the foot of the bed slightly raised.
b) Inform the client the treatment will last for 30 to 45 minutes.
c) Inform the client a head downward position will be used to drain secretions.
d) Have the client alternate from lying flat to sitting up every 5 minutes.
C
Question: The nurse is examining a client who presents with the following symptoms: muscle pains,
productive cough, stuffy nose, nausea, vomiting, fever of 38.4°C for the past 2 days, burning eyes
and sensitivity to light. Which condition should the nurse suspect?
a) Influenza
b) Strep throat
c) Acute rhinitis
d) Laryngitis
A
Question: What term should the nurse use to describe a respiratory rate of 15?
a) Eupnea
b) Orthopnea
c) Dyspnea
d) Apnea
A
Question: A nurse is caring for a client who underwent a tracheostomy following throat surgery.
What is the rationale for swabbing the area around the outside of the tracheostomy tube with
hydrogen peroxide?
a) To relieve bronchospasm
b) To hydrate thick sputum
c) To reduce inflammation
d) To remove encrusted secretions
D