Respiratory NCLEX questions

If a client continues to hypoventilate, the nurse will continually assess for a complication of: A. Respiratory acidosis B. Respiratory alkalosis C. Metabolic acidosis D. Metabolic alkalosis

A. Respiratory Acidosis

When developing a discharge plan to manage the care of a client with COPD, the nurse should anticipate that the client will do which of the following? A. Develop infections easily. B. Maintain current status. C. Require less supplemental oxygen. D. Show permanent improvement.

A. Develop infections easily

The nurse observes a clear nasal drainage in a patient newly admitted with facial trauma with a nasal fracture. What is the nurse's priority action? A. Test the drainage for the presence of glucose B. Suction the nose to maintain airway clearance C. Document the findings and continue monitoring D. Apply a drip pad and reassure the patient this is normal

A. Test the drainage for the presence of glucose rationale: Testing to make sure it's not spinal fluid

A school nurse is providing information to high school students about influenza prevention. What should the nurse emphasize in teaching to prevent the transmission of the virus? (Select all that apply.) A.Cover the nose when coughing. B. Obtain an influenza vaccination C. Stay at home when symptomatic D. Drink noncaffeinated fluids daily E. Obtain antibiotic therapy promptly.

A.Cover the nose when coughing. B. Obtain an influenza vaccination C. Stay at home when symptomatic

Which of the following are typical signs and symptoms of pneumonia? Select-all-that-apply: A. Stridor B. Coarse crackles C. Oxygen saturation less than 90% D. Non-productive, nagging cough E. Elevated white blood cells F. Low PCO2 of less than 35 G. Tachypnea

B. Course Crackles C. Oxygen saturation less than 90% E. Elevated white blood cells G. Tachypnea

A client's arterial blood gas levels are as follows: pH 7.31; PaO2 80 mm Hg, PaCO2 65 mm Hg; HCO3- 36 mEq/L. Which of the following signs or symptoms would the nurse expect? A. Cyanosis B. Flushed skin C. Irritability D. Anxiety

B. Flushed skin

The nurse would anticipate which of the following ABG results in a client experiencing a prolonged, severe asthma attack? A. Decreased PaCO2, increased PaO2, and decreased pH. B. Increased PaCO2, decreased PaO2, and decreased pH. C. Increased PaCO2, increased PaO2, and increased pH. D. Decreased PaCO2, decreased PaO2, and increased pH.

B. Increased PaCO2, decreased PaO2, and decreased pH

Which of the following individuals would the nurse consider to have the highest priority for receiving an influenza vaccination? A. A 60-year-old man with a hiatal hernia. B. A 36-year-old woman with 3 children. C. A 50-year-old woman caring for a spouse with cancer. D. A 60-year-old woman with osteoarthritis.

C. A 50 year old woman caring for a spouse with cancer

A patient is presenting with mild symptoms of pneumonia. The doctor diagnoses the patient with "walking pneumonia". From your nursing knowledge, you know this type of pneumonia is caused by what type of infectious agent? A. Fungi B. Streptococcus pneumoniae C. Mycoplasma pneumoniae D. Influenza

C. Mycoplasma pneumoniae

Aminophylline (theophylline) is prescribed for a client with acute bronchitis. A nurse administers the medication, knowing that the primary action of this medication is to: A. Promote expectoration. B. Suppress the cough. C. Relax smooth muscles of the bronchial airway. D. Prevent infection.

C. Relax smooth muscles of the bronchial airway

A client with COPD has a blood pH of 7.25 and a PCO2 of 60 mmHg. What complication does the nurse conclude the client is experiencing? A. Metabolic acidosis B. Metabolic alkalosis C. Respiratory acidosis D. Respiratory Alkalosis

C. Respiratory Acidosis

A patient is being discharged from the emergency department after being treated for epistaxis. In teaching first aid measures in the event the epistaxis would recur, what measures should the nurse suggest? (Select all that apply.) A. Tilt patient's head backwards. B. Apply ice compresses to the nose C. Tilt head forward while sitting upright. D. Pinch the entire soft lower portion of the nose. E. Lying down until 15 minutes after the bleeding ceases

C. Tilt head forward while sitting upright. D. Pinch the entire soft lower portion of the nose

Which of the following diets would be most appropriate for a client with COPD? A. Low fat, low cholesterol B. Bland, soft diet C. Low-Sodium diet D. High calorie, high-protein diet

D. High calorie, high-protein diet

The nurse is scheduled to administer seasonal influenza vaccinations to the residents of a long-term care facility. What would be a contraindication to the administration of the vaccine to a resident? A. Age older than 80 years B. History of upper respiratory infections C. Chronic obstructive pulmonary disease (COPD) D. History of a severe allergic reaction to the vaccine

D. History of a severe allergic reaction to the vaccine

A male adult patient hospitalized for treatment of a pulmonary embolism develops respiratory alkalosis. Which clinical findings commonly accompany respiratory alkalosis? A. Nausea or vomiting B. Abdominal pain or diarrhea C. Hallucinations or tinnitus D. Lightheadedness or paresthesia

D. Lightheadedness or paresthesia

Which diagnostic test may be used to distinguish vascular from nonvascular structures A. Chest x-ray B. Pulmonary angiogram C. Computed tomography (CT) D. Magnetic resonance imaging (MRI)

D. Magnetic Resonance Imaging (MRI)

A patient had an open reduction repair of a bilateral nasal fracture. The nurse plans to implement an intervention that focuses on both nursing and medical goals for this patient. Which intervention should the nurse implement? A. Apply an external splint to the nose. B. Insert plastic nasal implant surgically. C. Humidify the air for mouth breathing. D. Maintain surgical packing in the nose.

D. Maintain surgical packing in the nose

The nurse instructs the client admitted for an acute exacerbation of chronic obstructive pulmonary disease (COPD) about the importance of assessing for right-sided heart failure after discharge. What does the nurse instruct the client to assess for? A. Increased appetite B. Clubbing of nailbeds C. Hypertension D. Weight gain

D. Weight gain