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NCLEX
Respiratory
| Question | Answer |
|---|---|
| 1.A 69 year old in the ER with a history of a productive cough, night sweats, just lost 30 pounds over a month. The diagnosis of the tuberculosis suspected. Which intervention? | Place patient in negative pressured room and implement airborne precautions |
| 2.A client suspected with bacterial pneumonia has? | Dyspnea and wheezing |
| 3.Nurse takes the health history of an 85 year old. What info is most useful for planning care? | Current health promotion, activities |
| 4.A pulmonary embolism develops respiratory alkalosis. What clinical finding commonly accompanies respiratory alkalosis? | light headed or paresthesia |
| 5.Client with HEPB dislodges IV line and bleeds on bed. What is appropriate for the housekeeper to clean with? | bleach |
| 6.An arterial oxygen saturation of 88%, which mode of oxygen delivery is best? | nonbreather mask |
| 7.Ready to discharge with pneumothorax, which outcome indicates client has adequate respiratory function? | client breathes 16-20 breaths/minute |
| 8.Which ABG values confirm respiratory acidosis? | pH 7.25 paCO2 50mmHg |
| 9.Irrigate gaping abdominal incision with sterile normal saline, using a piston? | Irrigate unit solution becomes clean or all solution has been used |
| 10.How to respond to oral dose of codeine for intractable cough, how long will it take | 30 minutes, the nurse client relationship |
| 11.Vitamin C enhances | Collagen formation |
| 12.Herniated lumbar disk with complaints of | numbness, weakness, pain in legs. |
| 13.Respiratory rate is 36 breaths/min, arterial oxygen saturation is 84%, if the therapist is busy, what should the nurse do | the nurse should give the nebulizer treatment herself. |
| 14.Appropriate nursing diagnosis of ineffective airway clearance | Breath sounds are clear on auscultation |
| 15.A patient is admitted with multiple traumatic injuries, massive fluid resuscitation, nurse knows client is at a high risk for | ARDS (adult respiratory distress syndrome) |
| 16.COPD, which equipment is most important for nurse to keep at client’s bedside | Manual resuscitation bag |
| 17.When weaning client from tracheostomy, the nurse initially should? | plug the opening in the tube for 5 to 20 minutes. |
| 18.A bronchoscopy: keeps suction equipment available, assess cough, gag reflexes after the procedure; | report hemoptysis, stridor, or dyspnea immediately |
| 19.Patient is given Tylenol, which medical history would cause nurse to question this order | Cirrhosis |
| 20.Clubbed fingers is a sign of having | hypoxia |
| 21.If following orders, the patient is supporting the client’s decisions of | autonomy |
Created by:
Gastelum07
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