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COPD Practice NCLEX Test: Exam Questions & Correct Answers with Rationales

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This comprehensive practice exam is designed for nursing students and NCLEX candidates focusing on chronic obstructive pulmonary disease (COPD). It contains 50 actual exam-style questions with verified correct answers and detailed rationales. Core topics include: COPD pathophysiology, clinical manifestations (increased anteroposterior chest diameter/barrel chest, clubbing, dyspnea on exertion, coarse crackles, rhonchi), diagnostic findings (ABG interpretation: respiratory acidosis with pH 7.31, PaCO2 65, HCO3 36; hypoxemia with PaO2 60 and PaCO2 50 in exacerbation), nursing priorities (maintaining functional ability, promoting gas exchange with semi-Fowler’s position, patent airway with controlled breathing), oxygen therapy considerations (low flow 2-3 L/min to avoid eliminating hypoxic drive in CO2 retainers, Venturi mask for precise FiO2, pulse oximetry to determine need), respiratory treatments (pursed-lip breathing to prevent early airway collapse and promote CO2 elimination, effective coughing technique – deep abdominal breath, bend forward, cough 3-4 times on exhalation, postural drainage uses gravity), energy conservation (lift objects while exhaling through pursed lips), nutritional interventions (high-calorie, high-protein diet, small frequent meals rather than three large meals, high fluid intake 2-3 L/day to reduce tenacity of secretions), complications (secondary polycythemia → risk for thrombosis/impaired tissue perfusion, cor pulmonale with lower extremity edema, right-sided heart failure signs, atelectasis from ineffective cough post-MI), pharmacotherapy (theophylline relaxes bronchial smooth muscle), home care (weigh daily, report 2-3 lb weight gain in 1 day for cor pulmonale, smoking cessation most important for home oxygen safety, further assessment for increased dyspnea before calling emergency), infection prevention (normothermia indicating outcome met), and discharge planning (client will call physician if dyspnea on exertion increases). Ideal for NCLEX-RN, nursing fundamentals, medical-surgical nursing, and respiratory nursing exam preparation.

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COPD PRACTICE NCLEX TEST EXAM
NEWEST QUESTIONS AND

CORRECT VERIFIED SOLUTIONS TESTED
AND APPROVED!!


1. Which of the following is a priority goal for the client with COPD?



A) Maintaining functional ability

B) Minimizing chest pain

C) Increasing carbon dioxide levels in the blood

D) Treating infectious agents - ✔✔✔ Correct Answer > a



2. A client's arterial blood gas values are as follows: pH 7.31,

PaO2 80 mm Hg, PaCO2 65 mm Hg, HCO3 36 mEq/L. Which of the following
signs and symptoms should the nurse expect?



A) Cyanosis

B) Flushed skin

C) Irritability

D) Anxiety - ✔✔✔ Correct Answer > b


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,3. When performing postural drainage, which of the following promotes the
movement of secretions from the lower to the upper respiratory tract?



A) Friction between the cilia

B) Force of gravity

C) Sweeping motion of the cilia

D) Involuntary muscle contraction - ✔✔✔ Correct Answer > b



4. When teaching a client with COPD to conserve energy, the nurse should
teach the client to lift objects:



A) While inhaling through an open mouth

B) While exhaling through pursed lips

C) After exhaling but before inhaling

D) While taking a deep breath and holding it - ✔✔✔ Correct Answer > b



5. The nurse teaches a client with COPD to assess signs and symptoms of right
sided heart failure. Which of the following signs and symptoms should be
included in the teaching plan?



A) Clubbing of nails


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, B) Hypertension

C) Peripheral edema

D) Increased appetite - ✔✔✔ Correct Answer > c



6. The nurse assesses the respiratory status of a client experiencing an
exacerbation of COPD secondary to a upper respiratory tract infection. Which
of the following findings would be expected?



A) Normal breath sounds

B) Prolonged inspiration

C) Normal chest movement

D) Coarse crackles and rhonchi - ✔✔✔ Correct Answer > d



7. Which of the following blood gas abnormalities should the nurse anticipate in
the client with advanced COPD?



A) Increased PaCO2

B) Increased PaO2

C) Increased pH

D) Increased oxygen saturation - ✔✔✔ Correct Answer > a




Page 3 of 21

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