1
Fundamental’s NCLEX
Questions and answers 2022
updated 100% verified
1. A 16-year old patient with cystic fibrosis is admitted with increased shortness of breath and
possible pneumonia. Which nursing activity is most important to include in the patient’s
care?
A. Perform postural drainage and chest physiotherapy every 4 hours
2. A patient with a pulmonary embolus is receiving anticoagulation with IV heparin. What
instructions would you give the nursing assistant who will help the patient with activities of daily
living? Select all that apply.
A. Use a lift sheet when moving and positioning the patient in bed
B. Use an electric razor when shaving the patient each day
C. Use a soft-bristled toothbrush or tooth sponge for oral care
D. Use a rectal thermometer to obtain a more accurate body temperature
E. Be sure the patient’s footwear has a firm sole when the patient ambulates.
Answers: A, B, C, and E.
3. A patient with acute respiratory distress syndrome (ARDS) is receiving oxygen by a
nonrebreather mask, but arterial blood gas measurements still show poor oxygenation. As the
nurse responsible for this patient’s care, you would anticipate a physician order for what
action?
A. Perform endotracheal intubation and initiate mechanical ventilation.
4. A patient with chronic obstructive pulmonary disease (COPD). Which intervention for airway
management should you delegate to a nursing assistant (PCT)?
A. Assisting the patient to sit up on the side of the bed
5. A patient with sleep apnea has a nursing diagnosis of Sleep Deprivation related to disrupted
sleep cycle. Which action should you delegate to the nursing assistant (PCT)?
Fundamental’s NCLEX
Questions and answers 2022
updated 100% verified
, 2
Fundamental’s NCLEX
Questions and answers 2022
updated 100% verified
C. Remind the patient to sleep on his side instead of his back.
6. After change of shift, you are assigned to care for the following patients. Which patient
should you assess first?
D. A 50-year old with asthma who complains of shortness of breath after using a
bronchodilator
7. After the respiratory therapist performs suctioning on a patient who is intubated, the nursing
assistant measures vital signs for the patient. Which vital sign value should the nursing
assistant report to the RN immediately?
D. Tympanic temperature of 101.4 F (38.6 C)
8. An experienced LPN, under the supervision of the team leader RN, is providing nursing care
for a patient with a respiratory problem. Which actions are appropriate to the scope of practice
of an experienced LPN? Select all that apply.
A. Auscultate breath sounds
B. Administer medications via metered-dose inhaler (MDI)
9. The charge nurse is making assignments for the next shift. Which patient should be assigned
to the fairly new nurse (6 months experience) pulled from the surgical unit to the medical unit?
C. A 72-year old who needs teaching about the use of incentive spirometry
10. The high-pressure alarm on a patient’s ventilator goes off. When you enter the room to
assess the patient, who has ARDS, the oxygen saturation monitor reads 87% and the patient is
struggling to sit up. Which action should you take next?
B. Manually ventilate the patient while assessing possible reasons for the high-pressure
alarm
11. The nursing assistant tells you that a patient who is receiving oxygen at a flow rate of 6
Fundamental’s NCLEX
Questions and answers 2022
updated 100% verified
Fundamental’s NCLEX
Questions and answers 2022
updated 100% verified
1. A 16-year old patient with cystic fibrosis is admitted with increased shortness of breath and
possible pneumonia. Which nursing activity is most important to include in the patient’s
care?
A. Perform postural drainage and chest physiotherapy every 4 hours
2. A patient with a pulmonary embolus is receiving anticoagulation with IV heparin. What
instructions would you give the nursing assistant who will help the patient with activities of daily
living? Select all that apply.
A. Use a lift sheet when moving and positioning the patient in bed
B. Use an electric razor when shaving the patient each day
C. Use a soft-bristled toothbrush or tooth sponge for oral care
D. Use a rectal thermometer to obtain a more accurate body temperature
E. Be sure the patient’s footwear has a firm sole when the patient ambulates.
Answers: A, B, C, and E.
3. A patient with acute respiratory distress syndrome (ARDS) is receiving oxygen by a
nonrebreather mask, but arterial blood gas measurements still show poor oxygenation. As the
nurse responsible for this patient’s care, you would anticipate a physician order for what
action?
A. Perform endotracheal intubation and initiate mechanical ventilation.
4. A patient with chronic obstructive pulmonary disease (COPD). Which intervention for airway
management should you delegate to a nursing assistant (PCT)?
A. Assisting the patient to sit up on the side of the bed
5. A patient with sleep apnea has a nursing diagnosis of Sleep Deprivation related to disrupted
sleep cycle. Which action should you delegate to the nursing assistant (PCT)?
Fundamental’s NCLEX
Questions and answers 2022
updated 100% verified
, 2
Fundamental’s NCLEX
Questions and answers 2022
updated 100% verified
C. Remind the patient to sleep on his side instead of his back.
6. After change of shift, you are assigned to care for the following patients. Which patient
should you assess first?
D. A 50-year old with asthma who complains of shortness of breath after using a
bronchodilator
7. After the respiratory therapist performs suctioning on a patient who is intubated, the nursing
assistant measures vital signs for the patient. Which vital sign value should the nursing
assistant report to the RN immediately?
D. Tympanic temperature of 101.4 F (38.6 C)
8. An experienced LPN, under the supervision of the team leader RN, is providing nursing care
for a patient with a respiratory problem. Which actions are appropriate to the scope of practice
of an experienced LPN? Select all that apply.
A. Auscultate breath sounds
B. Administer medications via metered-dose inhaler (MDI)
9. The charge nurse is making assignments for the next shift. Which patient should be assigned
to the fairly new nurse (6 months experience) pulled from the surgical unit to the medical unit?
C. A 72-year old who needs teaching about the use of incentive spirometry
10. The high-pressure alarm on a patient’s ventilator goes off. When you enter the room to
assess the patient, who has ARDS, the oxygen saturation monitor reads 87% and the patient is
struggling to sit up. Which action should you take next?
B. Manually ventilate the patient while assessing possible reasons for the high-pressure
alarm
11. The nursing assistant tells you that a patient who is receiving oxygen at a flow rate of 6
Fundamental’s NCLEX
Questions and answers 2022
updated 100% verified
