MedSurg Exam One- NCLEX Practice Questions

The nurse knows that an inflated cuff for a tracheostomy is indicated for which client? Select all that apply

-A client at risk for aspiration -A client who requires mechanical ventilation

The nurse is preparing a list of home care instructions for a client who has been hospitalized and treated for tuberculosis. Which instructions should the nurse include on the list? Select all that apply.

-Activities should be resumed gradually -A sputum culture is needed every 2 to 4 weeks once medication therapy is initiated -Respiratory isolation is not necessary because family members already exposed -Cover the mouth and nose when coughing or sneezing and put used tissues in a plastic bag

Which signs/symptoms are indicators of an asthma attack? Select all that apply.

-Audible wheeze especially on exhalation -Muscle retraction between the ribs -Decreased (FEV1) on flowmeter -Eosinopihls in the sputum

Which statements are correct regarding the drug management of asthma? Select all that apply.

-Control therapy meds are used to PREVENT asthma attacks -Control therapy meds are used to reduce airway responsiveness -Reliever meds are used to stop an attack once it has already started

A clinic nurse notes that large numbers of clients present with flulike symptoms. Which recommendations should the nurse include in the plan of care for these clients? Select all that apply.

-Get plenty of rest -Take antipyretics for fever -Eat fruits and veggies high in vitamin C

A client is experiencing a sudden onset of chest pain and dyspnea, and is diagnosed with a PE. The nurse immediately implements what prescription for this client?

-Supplemental O2 -High fowlers -Morphine sulfate IV

The nurse is caring for a client with a newly placed tracheostomy. Which emergency equipment should be available at the bedside? Select all that apply.

-Trach tube -Trach insertion tray -Manual resuscitation bag with face mask

The nurse is monitoring a client for bradypnea. Which description is characteristic of this respiratory pattern?

Regular but abnormally slow

A client's baseline vital signs are as follows: temperature 98.8°F (37.1°C) oral, pulse 74 beats/min, respirations 18 breaths/min, and blood pressure 124/76 mm Hg. The client's temperature suddenly spikes to 103°F (39.4°C). Which corresponding respiratory rate should the nurse anticipate in this client as part of the body's response to the change in status?

Respiratory rate of 22 breaths/m

The nurse understands which is the primary risk factor for lung cancer?

Cigarette smoking

The nurse has assisted a health care provider (HCP) with the insertion of a chest tube. The nurse monitors the client and notes fluctuation of the fluid level in the water-seal chamber after the tube is inserted. Based on this assessment, which action is most appropriate?

Continue to monitor the client

The student nurse is listening to a respiratory lecture on wheezing. Which statement by the student nurse indicates that the teaching has been successful?

"Wheezing sounds like a musical or hissing noise heard on inspiration."

The nurse is caring for a group of patients on the pulmonary unit. Which patient is at greatest risk for having pulmonary hypertension (PH)?

32-year-old female with a family history of PH

A client is diagnosed with a tumor of the larynx. The nurse determines that the client is in the late stage of the disease process if the client exhibits which finding?

Dyspnea

The client states that he has smoked three-fourths of a pack per day over the last 10 years. The nurse calculates that the client has a smoking history of how many pack-years?

7.5

A post op client suddenly develops chest pain and is experiencing dyspnea and tachypnea. The nurse suspects that the client has a PE and immediately does what intervention?

Administer nasal oxygen

A patient with a history of asthma is having shortness of breath. The nurse discovers that the peak flowmeter indicates a peak expiratory flow (PEF) reading that is in the red zone. What is the priority nursing action?

Administer the rescue drugs

The nurse is suctioning a client who has an endotracheal tube in place. Which finding indicates that the client is experiencing an adverse effect of this procedure?

Cardiac irregularities

The nurse is assessing the respiratory status of the client after a thoracentesis has been performed. The nurse would become concerned with which assessment finding?

Diminished breath sounds on the affected side

A client seeks treatment in an ambulatory clinic for hoarseness that has persisted for 8 weeks. Based on the symptom, the nurse interprets that the client is at risk for which disorder?

Laryngeal cancer

The nurse is assisting a health care provider with the removal of a chest tube. The nurse should instruct the client to take which action?

Perform the Valsalva maneuver

A client did not seek medical treatment for a previous respiratory infection, and subsequently an empyema developed in the left lung. The nurse should assess the client for which signs and symptoms associated with this problem?

Plural pain and fever

A client is experiencing difficulty coping with decreased ability to tolerate activity because of respiratory disease. The home care nurse determines that the client is showing an adaptive response when which behaviors are observed?

Tries to increase ambulation and complete some small tasks each day