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WorksheetsNCLEX - RESPIRATORY Day1 (Part 2)
Total questions: 11
Worksheet time: 11mins
Name
Class
Date
1.
A client with a mature tracheostomy is in respiratory distress and the trach tube is lying on the bed. What action should the nurse take?
a)
Administer supplemental oxygen via simple face mask
b)
Insert a new tracheostomy tube using the bedside obturator
c)
Insert a sterile catheter into the stoma and suction the airway
d)
Place dry, sterile gauze over the stoma and secure it with tape
e)
–
2.
The nurse teaches a client with asthma how to use a peak flow meter. Which statement requires follow-up?
a)
I will exhale quickly and completely into the mouthpiece.
b)
I should use the peak flow meter 3 times in a row and record the lowest reading.
c)
I will inhale slowly and deeply to fill my lungs before exhaling.
d)
I should position the indicator at the bottom of the scale on the peak flow meter before using it.
e)
–
3.
A hospitalized client with obstructive sleep apnea sleeps using a full-face CPAP mask. Oxygen saturation drops to 85% during sleep. What is the nurse’s first action?
a)
Check the tightness of the straps and mask
b)
Notify the health care provider immediately
c)
Remove the mask and administer supplemental oxygen
d)
Replace the old pulse oximeter probe with a new probe
e)
–
4.
The home health nurse is caring for a client receiving supplemental oxygen. The nurse notes multiple stacks of newspapers obstructing walkways in the client’s home. What should the nurse do first?
a)
Request a referral for mental health services
b)
Assess the client's stressors and coping skills
c)
Teach the client about the safe use of oxygen
d)
Remove the newspapers from the client's home
e)
–
5.
A client post-colectomy is increasingly restless, has received IV morphine every 2 hours, and is breathing shallowly at 28/min. Which ABG indicates respiratory failure?
a)
PaO₂ 49 mm Hg, PaCO₂ 60 mm Hg
b)
PaO₂ 64 mm Hg, PaCO₂ 45 mm Hg
c)
PaO₂ 70 mm Hg, PaCO₂ 30 mm Hg
d)
PaO₂ 86 mm Hg, PaCO₂ 25 mm Hg
e)
–
6.
The nurse assesses a client 1 hour after bronchoscopy with biopsy. Which finding requires immediate follow-up?
a)
Sore throat
b)
Drowsy but responsive to verbal stimuli
c)
Respirations of 12/min
d)
Moderate amount of bright red sputum
e)
–
7.
A client involved in a motor vehicle collision had a chest tube inserted to evacuate a pneumothorax. Where would the nurse observe an air leak?
a)
Section A
b)
Section B
c)
Section C
d)
Section D
e)
–
8.
A nurse receives report on a group of clients. Which client should the nurse assess first?
a)
A preschool-age child with a harsh cough, expiratory wheezes, and mild intercostal retractions
b)
A toddler playing with small toys who appears in distress, has circumoral cyanosis, and cannot speak
c)
A toddler with a barking cough, infrequent inspiratory stridor, and oxygen saturation of 94% on room air
d)
An infant with an axillary temperature of 100.1 F (37.8 C) who is tugging at the left ear
e)
–
9.
The nurse provides discharge instructions on using short-acting beta agonist and inhaled corticosteroid inhalers. Which instructions should be included?
a)
Omit the beclomethasone if the albuterol is effective
b)
Rinse your mouth well after using the beclomethasone inhaler and do not swallow the water
c)
Take the albuterol inhaler apart and wash it after every use
d)
Use the albuterol inhaler first if needed, then the beclomethasone inhaler
e)
Use the beclomethasone inhaler first, then the albuterol, if needed
10.
The nurse evaluates a COPD client's understanding of pursed-lip breathing. Which statements indicate correct technique?
a)
I exhale for 2 seconds through pursed lips.
b)
I exhale for 4 seconds through pursed lips.
c)
I inhale for 2 seconds through my mouth.
d)
I inhale for 2 seconds through my nose, keeping my mouth closed.
e)
I inhale for 4 seconds through my nose, keeping my mouth closed.
11.
The nurse is caring for a client post-colectomy on 2 L/min oxygen via nasal cannula. The client has fine crackles and SpO₂ is 92%. What should the nurse do?
a)
Administer IV furosemide
b)
Switch to nonrebreather mask
c)
Encourage use of incentive spirometer
d)
Administer PRN IV morphine
e)
–
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