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Respiratory Review NCLEX Practice

Total questions: 10

Worksheet time: 10mins

Name
Class
Date
1.

Which type of breath sound is medium-pitched and continuous, occurs over the upper third of the sternum in the interscapular area, and is equally audible during inspiration and expiration?

a)

Vesicular

b)

Bronchial

c)

Bronchovesicular

d)

Tracheal

2.

Your patient's ABG analysis shows a pH less than 7.35, bicarbonate greater than 26 mEq/L, and a PaCO2 greater than 45mm Hg. He's diaphoretic, has tachycardia, and is restless. Which condition does he probably have?

a)

Respiratory alkalosis

b)

Respiratory acidosis

c)

metabolic alkalosis

d)

Metabolic acidosis

3.

When suctioning a patient, you should :

a)

Apply suction intermittently as the catheter is inserted.

b)

Suction the patient for longer than 10 seconds each time.

c)

Oxygenate the patient's lungs before and after suctioning.

d)

Apply suction continuously while inserting the catheter.

4.

TB is transmitted through:

a)

Inhalation of infected droplets

b)

Contact with blood

c)

The fecal-oral route.

d)

Skin-to-skin contact

5.

A 69 year old client develops acute shortness of breath and progressive hypoxia requiring mechanical ventilation after repair of a fractured right femur. The hypoxia was probably caused by which condition?

a)

Asthma attack

b)

Atelectasis

c)

Bronchits

d)

Fat Embolism

6.

Which nursing diagnosis would be the priority for a client with acute respiratory distress syndrome (ARDS)?

a)

Ineffective breathing pattern

b)

Risk for Infection

c)

Imbalanced nutrition: Less than body requirements.

d)

Impaired skin integrity

7.

A client in long-term care facility has been receiving tube feedings around the clock. The nurse notices he has a cough producing tan sputum, much like the content of his tube feedings, and is now febrile to 102 F. The nurse auscultates his lung fields and hears bronchial breath sounds in his right middle lobe. The nurse suspects he may have developed which condition?

a)

Atelectasis

b)

Bronchitis

c)

Penumonia

d)

Pulmonary embolism

8.

Clients with chronic illnesses are more likely to get pneumonia when which situation is present?

a)

Dehydration

b)

Group living

c)

Severe periodontal disease

d)

Malnutrition

9.

Which elderly client with pneumonia may appear with which symptoms first?

a)

Altered mental status and dehydration

b)

Fever and chills

c)

Hemoptysis and dyspnea

d)

Pleuritic chest pain and cough

10.

Which organization most commonly causes community-acquired pneumonia in adults?

a)

Haemophilus influenzae

b)

Klebsiella pnuemoniae

c)

Streptococcus pneumoniae

d)

Staphylococcus aureus