NCLEX Respiratory Questions And Answers Most Reviewed
Edition Rationale.
A cromolyn sodium inhaler is prescribed for a client with allergic asthma. nurse provides
instructions regarding the adverse effect of this med and should tell the client that which
undesirable effect is assc with this med?
1. insomnia
2. constipation
3. hypotension
4. bronchospasm - ans4.
cromolyn: inhaled non steroidal anti-allergy and mast cell stabilizer.
undesirable effects: bronchospasm, cough, nasal congestion, throat irritation, wheezing.
oral tabs: pruitis, nausea, diarrhea, myalgia
A patient is concerned that he may have asthma. Of the symptoms the he relates to the nurse,
which ones suggest asthma or risk factors for asthma? SATA
a. allergic rhinitis
b. prolonged inhalation
c. HX of skin allergies
d. cough esp @ nigh
e. gastric reflux or heartburn - ansa,c,d,e
A patient who has bronchiectasis asks the nurse, "What conditions would warrant a call to the
clinic?"
a.Blood clots in the sputum
b.Sticky sputum on a hot day
c.Increased shortness of breath after eating a large meal
d.Production of large amounts of sputum on a daily basis - ansA
,NCLEX Respiratory Questions And Answers Most Reviewed
Edition Rationale.
a plan of care for the pt w/COPD could include. SATA
a. exercise such as walking
b. high flow rate of O2 admin
c. low dose chronic oral corticosteroid therapy
d. use of peak flow meter to monitor the progression of COPD
e. breathing exercises such as pursed lip breathing that focus on exhalation - ansa, e
an O2 delivery system is prescribed for a client w/COPD to deliver precise O2 concentration.
which O2 delivery system would the nurse prepare for the client?
1. face tent
2. venturi mask
3. aerosol mask
4. tracheostomy collar - ans2.
venturi mask delivers most accurately O2 concentration. best system for client w chronic airflow
limitation such as COPD, bc delivers precise O2 concentration.
face tent, aerosol mask, trach collar=high flow O2, but used to admin high humidity
client has a RX to take guaifenesin. nurse determines client understands proper admin of this
med if client states that he or she will perform which action?
1. take extra dose if fever develops
2. take med w/meals only
3. take tab w/full glass of water
4. decrease amount of daily fluid intake - ans3
, NCLEX Respiratory Questions And Answers Most Reviewed
Edition Rationale.
take w water to decrease viscosity of secretions. client should contact HCP if cough lasts more
than 1 wk or is accompanied w fever, rash, sore throat, persistent HA
client has been admitted w/chest trauma after MVA, has undergone subsequent intubation. nurse
checks client when high pressure alarm on ventilator sounds, & notes client has absence of
breath sounds in RUL of lung. nurse IMMEDIATELY assess for other signs of which condition?
1. right pneumothorax
2. PE
3. displaced endotracheal tube
4. ARDS - ans1.
pneumothorax characteristics: restlessness, tahcycardia, dysonea, pain w resp, asymmetrical
chest expansion, dim or absent breath sounds on affected side
endotracheal tube in too far can cause absent breath sounds but on left side due to curvature of rt
and lt mainstem bronchi
client has been started on long term therapy w/rifampin. nurse should provide which info to
client about the med?
1. should always be taken w food or antacids
2. should be double dosed if 1 dose is forgotten
3. causes orange discoloration of sweat, teas, urine, feces
4. may be d/c independently if symptoms are gone in 3 mos - ans3.
best to admin on empty stomach unless GI upset, then taken w food.
antacids should be taken at least 1 hr before med
Edition Rationale.
A cromolyn sodium inhaler is prescribed for a client with allergic asthma. nurse provides
instructions regarding the adverse effect of this med and should tell the client that which
undesirable effect is assc with this med?
1. insomnia
2. constipation
3. hypotension
4. bronchospasm - ans4.
cromolyn: inhaled non steroidal anti-allergy and mast cell stabilizer.
undesirable effects: bronchospasm, cough, nasal congestion, throat irritation, wheezing.
oral tabs: pruitis, nausea, diarrhea, myalgia
A patient is concerned that he may have asthma. Of the symptoms the he relates to the nurse,
which ones suggest asthma or risk factors for asthma? SATA
a. allergic rhinitis
b. prolonged inhalation
c. HX of skin allergies
d. cough esp @ nigh
e. gastric reflux or heartburn - ansa,c,d,e
A patient who has bronchiectasis asks the nurse, "What conditions would warrant a call to the
clinic?"
a.Blood clots in the sputum
b.Sticky sputum on a hot day
c.Increased shortness of breath after eating a large meal
d.Production of large amounts of sputum on a daily basis - ansA
,NCLEX Respiratory Questions And Answers Most Reviewed
Edition Rationale.
a plan of care for the pt w/COPD could include. SATA
a. exercise such as walking
b. high flow rate of O2 admin
c. low dose chronic oral corticosteroid therapy
d. use of peak flow meter to monitor the progression of COPD
e. breathing exercises such as pursed lip breathing that focus on exhalation - ansa, e
an O2 delivery system is prescribed for a client w/COPD to deliver precise O2 concentration.
which O2 delivery system would the nurse prepare for the client?
1. face tent
2. venturi mask
3. aerosol mask
4. tracheostomy collar - ans2.
venturi mask delivers most accurately O2 concentration. best system for client w chronic airflow
limitation such as COPD, bc delivers precise O2 concentration.
face tent, aerosol mask, trach collar=high flow O2, but used to admin high humidity
client has a RX to take guaifenesin. nurse determines client understands proper admin of this
med if client states that he or she will perform which action?
1. take extra dose if fever develops
2. take med w/meals only
3. take tab w/full glass of water
4. decrease amount of daily fluid intake - ans3
, NCLEX Respiratory Questions And Answers Most Reviewed
Edition Rationale.
take w water to decrease viscosity of secretions. client should contact HCP if cough lasts more
than 1 wk or is accompanied w fever, rash, sore throat, persistent HA
client has been admitted w/chest trauma after MVA, has undergone subsequent intubation. nurse
checks client when high pressure alarm on ventilator sounds, & notes client has absence of
breath sounds in RUL of lung. nurse IMMEDIATELY assess for other signs of which condition?
1. right pneumothorax
2. PE
3. displaced endotracheal tube
4. ARDS - ans1.
pneumothorax characteristics: restlessness, tahcycardia, dysonea, pain w resp, asymmetrical
chest expansion, dim or absent breath sounds on affected side
endotracheal tube in too far can cause absent breath sounds but on left side due to curvature of rt
and lt mainstem bronchi
client has been started on long term therapy w/rifampin. nurse should provide which info to
client about the med?
1. should always be taken w food or antacids
2. should be double dosed if 1 dose is forgotten
3. causes orange discoloration of sweat, teas, urine, feces
4. may be d/c independently if symptoms are gone in 3 mos - ans3.
best to admin on empty stomach unless GI upset, then taken w food.
antacids should be taken at least 1 hr before med
