Respiratory NCLEX Questions Latest updated with all correct answers
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Course
Respiratory NCLEX
Institution
Respiratory NCLEX
Which client is most likely to exhibit the following ABG results: pH, 7.30; PaCO2, 49; HCO , 26; PO2, 76?
A. Client with kidney failure
B. Client taking hydromorphone (Dilaudid)
C. Client with anxiety disorder
D. Client with hyperkalemia
B) Hydromorphone (Dilaudid), a narcotic analgesic, can c...
Respiratory NCLEX Questions
Latest updated with all correct
answers
Which client is most likely to exhibit the following ABG results: pH, 7.30; PaCO2, 49; HCO , 26; PO2, 76?
A. Client with kidney failure
B. Client taking hydromorphone (Dilaudid)
C. Client with anxiety disorder
D. Client with hyperkalemia
B) Hydromorphone (Dilaudid), a narcotic analgesic, can cause respiratory depression, hypoventilation,
and respiratory acidosis, as this blood gas reading demonstrates.
When caring for a group of clients at risk for respiratory acidosis, the nurse identifies which person as at
highest risk?
A. An athlete in training
B. Pregnant woman with hyperemesis gravidarum
C. Person with uncontrolled diabetes
D. Client who smokes cigarettes
D) Cigarette smoking worsens gas exchange, leading to disorders that contribute to hypoventilation and
respiratory acidosis.
Which acid-base disturbance does the nurse anticipate the client with morbid obesity may develop?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis
,Respiratory NCLEX Questions
Latest updated with all correct
answers
C) Respiratory acidosis is related to CO2 retention secondary to respiratory depression, inadequate
chest expansion, airway obstruction, and reduced alveolar-capillary diffusion, common in the morbidly
obese, who experience inadequate chest expansion owing to their size and work of breathing.
When caring for a client with a pulse oximetry level of 89%, which action should the nurse take first?
A. Get the client out of bed.
B. Apply oxygen as prescribed.
C. Notify the client's physician.
D. Auscultate breath sounds.
B) Applying oxygen is the first priority for a client with hypoxemia.
A client is admitted to the surgical floor with chest pain, shortness of breath, and hypoxemia after
having a knee replacement. What diagnostic test will the nurse teach the client about to help confirm
the diagnosis?
A. Bronchoscopy
B. Chest x-ray
C. Computed tomography (CT) scan
D. Thoracoscopy
C) CT scans, especially spiral or helical CT scans, with injected contrast can detect pulmonary emboli.
You are a charge nurse on a surgical floor. The LPN/LVN informs you that a new client who had an
earlier bronchoscopy has the following vital signs: heart rate 132, respiratory rate 26, and blood
pressure 98/50. The client is anxious and his skin is cyanotic. What will be your first action?
A. Call the Rapid Response Team.
B. Give methylene blue 1% 1 to 2 mg/kg by IV injection
C. Administer oxygen.
,Respiratory NCLEX Questions
Latest updated with all correct
answers
D. Notify the physician immediately.
C) Administering oxygen and reassessing vital signs to observe for improvement is the first action.
Administration of oxygen by itself may help relieve the client's anxiety.
A client had a thoracentesis 1 day ago. He calls the home health agency and tells the nurse that he is
very short of breath and anxious. What is the major concern of the nurse?
A. Abscess
B. Pneumonia
C. Pneumothorax
D. Pulmonary embolism
C) A pneumothorax would be the complication of thoracentesis that causes the greatest concern, along
with these symptoms.
The nursing assistant has taken vital signs of the ventilated postoperative client who has had radical
neck surgery. What does the nurse tell the assistant to be especially vigilant for?
A. Bright red blood rapidly seeping through the dressing
B. Decreased level of consciousness
C. Effective pain management
D. Heart rate and blood pressure trending up over several hours
A) Bright red blood indicates a rupture in the carotid artery and requires immediate attention.
The nurse answers the client's call light and realizes that the client has an upper airway obstruction.
What is the nurse's first action?
, Respiratory NCLEX Questions
Latest updated with all correct
answers
A. Attempts to remove the obstruction
B. Calls the Rapid Response Team to intubate immediately
C. Calls the Rapid Response Team to perform an emergency cricothyroidotomy
D. Determines the cause of obstruction
D) The first step the nurse will take is to determine the cause of the obstruction. After the cause has
been determined (e.g., tongue, food, inflammation), the nurse can decide the next course of action.
Which two factors in combination are the greatest risk factors for head and neck cancer?
A. Alcohol and tobacco use
B. Chronic laryngitis and voice abuse
C. Marijuana use and exposure to industrial chemicals
D. Poor oral hygiene and use of chewing tobacco
A) The combination of alcohol and tobacco use is one of the greatest risk factors for head and neck
cancer.
The nurse is planning care for the non-English-speaking client who is on complete voice rest. What
alternative method of communication does the nurse implement?
A. Alphabet board
B. Picture board
C. Translator at the bedside
D. Word board
B) A picture board overcomes language barriers and can be used to communicate with clients who do
not speak English as well as their family members if a translator or a translation phone is not readily
available.
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