● Ch. 16 - Lungs and Thorax
● Ch. 17 - Breasts and Axillae
Week 3 Respiratory NCLEX Style Questions
1. Which of the following techniques should be included when completing a respiratory
assessment of a female client with COPD?
a. Listen to lung sounds over the gown to maintain client privacy
b. Auscultate the lungs, then inspect and palpate the thorax.
c. Perform lung auscultation with the client in a seated position.
d. Only listen to the posterior and lateral lungs, due to breast tissue anteriorly.
2. Which of the following nursing interventions is directly related to the client’s diagnosis
of ineffective breathing pattern?
a. Assessing for orthostatic blood pressure
b. Reassessing lung sounds after the client coughs
c. Using the diaphragm of the stethoscope to listen to lung sounds
d. Educating the client on handwashing measures to prevent infection
3. Which of the following conditions may impact the client’s breathing? (Select all that
apply)
a. Kyphosis
b. Scoliosis
c. Pectus Carinatum
d. Pectus Excavatum
4. The nurse places their hands over the client’s ribs, with thumbs together and fingers
spread, and asks the client to take a deep breath. Which of the following is the nurse
assessing?
a. Crepitus
b. Fremitus
, c. Respiratory Expansion
d. Resonance
5. The nurse is preparing to assess lung sounds in a client. Which of the following
measures are appropriate prior to this assessment? (Select all that apply)
a. Ask the client and family to refrain from talking
b. Turn off the TV
c. Close the room door
d. Ask the client to take deep breaths through the mouth every time you move the
stethoscope
Critical thinking questions:
6. The nurse is caring for a client with COPD and plans to perform a full head to toe
assessment.
a. How should you position the client for this assessment?
- Sitting position or supine
b. Would you expect deep or shallow respirations for this client?
-shallow
c. Would the respiratory rate be higher or lower than normal?
-higher
d. What chest configuration would you expect in this client?
-barrel chest
e. What nail findings would you expect due to long term hypoxia?
-clubbing
f. List 3-4 signs of shortness of breath (dyspnea) on inspection.
-shallow breathing
-pallor
-blue skin
● Ch. 17 - Breasts and Axillae
Week 3 Respiratory NCLEX Style Questions
1. Which of the following techniques should be included when completing a respiratory
assessment of a female client with COPD?
a. Listen to lung sounds over the gown to maintain client privacy
b. Auscultate the lungs, then inspect and palpate the thorax.
c. Perform lung auscultation with the client in a seated position.
d. Only listen to the posterior and lateral lungs, due to breast tissue anteriorly.
2. Which of the following nursing interventions is directly related to the client’s diagnosis
of ineffective breathing pattern?
a. Assessing for orthostatic blood pressure
b. Reassessing lung sounds after the client coughs
c. Using the diaphragm of the stethoscope to listen to lung sounds
d. Educating the client on handwashing measures to prevent infection
3. Which of the following conditions may impact the client’s breathing? (Select all that
apply)
a. Kyphosis
b. Scoliosis
c. Pectus Carinatum
d. Pectus Excavatum
4. The nurse places their hands over the client’s ribs, with thumbs together and fingers
spread, and asks the client to take a deep breath. Which of the following is the nurse
assessing?
a. Crepitus
b. Fremitus
, c. Respiratory Expansion
d. Resonance
5. The nurse is preparing to assess lung sounds in a client. Which of the following
measures are appropriate prior to this assessment? (Select all that apply)
a. Ask the client and family to refrain from talking
b. Turn off the TV
c. Close the room door
d. Ask the client to take deep breaths through the mouth every time you move the
stethoscope
Critical thinking questions:
6. The nurse is caring for a client with COPD and plans to perform a full head to toe
assessment.
a. How should you position the client for this assessment?
- Sitting position or supine
b. Would you expect deep or shallow respirations for this client?
-shallow
c. Would the respiratory rate be higher or lower than normal?
-higher
d. What chest configuration would you expect in this client?
-barrel chest
e. What nail findings would you expect due to long term hypoxia?
-clubbing
f. List 3-4 signs of shortness of breath (dyspnea) on inspection.
-shallow breathing
-pallor
-blue skin
