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WorksheetsNCLEX - RESPIRATORY Day1 (Part 1)
Total questions: 15
Worksheet time: 15mins
Name
Class
Date
1.
The nurse is caring for a client who is scheduled for surgery in 2 hours and is reporting anxiety and shortness of breath. The client has a heart rate of 110/min and respirations of 24/min. Which of the following actions would be a priority for the nurse to take?
a)
Administer 2 mg morphine IV push.
b)
Place the client in Fowler or high Fowler position.
c)
Request a prescription for a bronchodilator nebulizer treatment.
d)
Reassure the client that it is normal to feel anxious before a surgical procedure.
e)
–
2.
A client with asthma was recently prescribed fluticasone/salmeterol. After the client has received instructions about this medication, which statement would require further teaching by the nurse?
a)
After taking this medication, I will rinse my mouth with water.
b)
At the first sign of an asthma attack, I will take this medication.
c)
I have been smoking for 12 years, but I just quit a month ago.
d)
I received the pneumococcal vaccine about a month ago.
e)
–
3.
The nurse is caring for a client with a hemothorax who has a chest tube attached to a closed-chest drainage system. The nurse notes 60 mL of dark red drainage in the collection chamber over the past hour. Which of the following actions should the nurse take?
a)
Clamp the chest tube.
b)
Document the finding and continue to monitor the drainage.
c)
Notify the health care provider.
d)
Request an order to check the hemoglobin and hematocrit levels.
e)
–
4.
The nurse is talking with a client with chronic obstructive pulmonary disease who is reporting recent weight loss. The client states that bloating, exhaustion, and dyspnea make eating difficult. Which of the following responses would be appropriate for the nurse to make?
a)
Use your bronchodilator before meals to decrease the work of breathing while eating.
b)
Drink fluids between meals instead of immediately prior to or during meals.
c)
Increase your intake of high-fiber foods, such as broccoli and cabbage.
d)
Take a short walk before each meal to help stimulate your appetite.
e)
Eat small, frequent meals that are high in calories and protein.
5.
The nurse in the postanesthesia care unit is caring for an unconscious client who had a surgical procedure with general anesthesia and has an oxygen saturation level of 88%. Which of the following actions should the nurse take first?
a)
Notify the surgeon.
b)
Assess the pupillary response.
c)
Administer naloxone.
d)
Perform the head tilt-chin lift maneuver.
e)
–
6.
The nurse is reviewing laboratory test results for a client. The nurse should recognize that the client is experiencing which of the following acid-base imbalances?
a)
metabolic acidosis
b)
metabolic alkalosis
c)
respiratory acidosis
d)
respiratory alkalosis
e)
–
7.
The nurse is caring for a client who has a chest tube attached to a closed chest drainage system that is connected to wall suction. The nurse notes continuous, gentle bubbling in the suction control chamber. Which of the following actions should the nurse take?
a)
Decrease the wall suction until the bubbling stops in the suction control chamber.
b)
Document the findings in the client's electronic medical record.
c)
Assess the chest tube insertion site for subcutaneous emphysema.
d)
Notify the health care provider of a suspected air leak.
e)
–
8.
The home health nurse is assessing a client with pneumonia who was discharged from the hospital 3 days ago. Which of the following findings would be a priority to follow up on?
a)
increased tactile fremitus
b)
pleural friction rub
c)
bronchial breath sounds
d)
rhonchi
e)
–
9.
The nurse is reviewing discharge teaching with the parent of a pediatric client who has a new tracheostomy. Which of the following statements by the parent would indicate a correct understanding of the teaching?
a)
I will immediately change the tracheostomy tube if my child has difficulty breathing.
b)
I will provide deep suctioning frequently to prevent any airway obstruction.
c)
I will remove the humidifier if my child develops more secretions.
d)
I will travel with two tracheostomy tubes, one of the same size and one a size smaller.
e)
–
10.
The nurse is caring for a client who is receiving oxygen at 2 L/min via nasal cannula and observes the plethysmograph waveform in the image. Which of the following actions would be essential for the nurse to take?
a)
Auscultate the client's breath sounds.
b)
Instruct the client to breathe slowly and deeply.
c)
Increase the oxygen flow rate to 3 L/min.
d)
Verify the position and integrity of the pulse oximeter.
e)
–
11.
The nurse is auscultating a client's breath sounds and identifies rhonchi. The nurse should recognize that rhonchi is consistent with:
a)
Croup
b)
Pleurisy
c)
Bronchitis
d)
Pneumothorax
e)
–
12.
The nurse enters the room of a client who is receiving oxygen via a nonrebreather mask. The nurse notes that the reservoir bag is not inflated and oxygen flow is set at 8 L/min. What action should the nurse take?
a)
Increase the oxygen flow rate to 10 L/min.
b)
Replace the nonrebreather mask with a nasal cannula.
c)
Request a prescription for nebulized albuterol.
d)
Obtain a blood specimen for arterial blood gas analysis.
e)
–
13.
The nurse is observing a staff member transferring a client with a chest tube and closed drainage system. Which observed action would require follow-up?
a)
Clamping the chest tube at the insertion site
b)
Hanging the closed-chest drainage system on the side of the bed
c)
Disconnecting the suction tubing from the wall suction
d)
Taping the connections between the chest tube and suction tubing
e)
–
14.
The nurse in the emergency department is caring for a client who was involved in a motor vehicle collision. Which diagnostic test best determines the client’s oxygenation and ventilation status?
a)
Peak expiratory flow rate reading
b)
Arterial blood gas analysis
c)
Pulse oximetry reading
d)
CT scan of the chest
e)
–
15.
The nurse is teaching a client with COPD who has a new prescription for tiotropium via dry powder inhaler. Which statement indicates correct understanding?
a)
I should shake the inhaler vigorously prior to each use.
b)
I will avoid opening the capsule before inserting it into the inhaler.
c)
I should avoid rinsing my mouth with water after using the inhaler.
d)
I will use the inhaler whenever I experience difficulty breathing.
e)
–
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