NSG 403 NCLEX RESPIRATORY EXAM 100 QUESTIONS AND
| | | | | | |
ANSWERS
| |
A male adult patient on mechanical ventilation is
| | | | | | |
receiving pancuronium bromide (Pavulon), 0.01 mg/kg I.V. as
| | | | | | |
needed.Which assessment finding indicates that the patient needs
| | | | | | | | |
| another pancuronium dose? | |
A. Leg movement |
B. Finger movement |
C. Lip movement |
D. Fighting the ventilator | |
On auscultation, which finding suggests a right pneumothorax?
| | | | | | |
A. Bilateral inspiratory and expiratory | | |
| crackles B. Absence of breaths sound in the
| | | | | | |
| right thorax |
C. Inspiratory wheezes in the right thorax
| | | | | |
D. Bilateral pleural friction rub.
| | | |
Rhea, confused and short breath, is brought to the emergency
| | | | | | | | |
| department by a family member. The medical history reveals | | | | | | | |
| chronicbronchitis and hypertension. To learn more about the
| | | | | | | |
| current respiratory problem, the doctor orders a chest x-ray and
| | | | | | | | |
arterial blood gas (ABG) analysis. When reviewing the ABG report,
| | | | | | | | |
thenurses sees many abbreviations. What does a lowercase “a” in
| | | | | | | | | | |
,| ABG value present?
| |
A. Acid-base
| balanceB. Arterial | |
Blood
|
C. Arterial oxygen saturation
| | |
D. Alveoli
|
A male patient is admitted to the healthcare facility for
| | | | | | | | |
treatment of chronic obstructive pulmonary disease. Which
| | | | | | |
| nursing diagnosis is most important for this patient?
| | | | | | |
A. Activity intolerance related to fatigue
| | | |
B. Anxiety related to actual threat to health status
| | | | | | |
C. Risk for infection related to retained secretions
| | | | | |
D. Impaired gas exchange related to airflow obstruction
| | | | | |
Nurse Ruth assessing a patient for tracheal displacement
| | | | | | |
shouldknow that the trachea will deviate toward the:
| | | | | | | | |
,A. Contralateral side in a simple pneumothorax | | | | |
B. Affected side in a hemothorax | | | |
C. Affected side in a tension | | | |
| pneumothoraxD. Contralateral side in | | | |
hemothorax
|
After undergoing a left pneumonectomy, a female patient has a
| | | | | | | | |
| chest tube in place for drainage. When caring for this patient, the
| | | | | | | | | | |
| nursemust: |
A. Monitor fluctuations in the water-seal chamber
| | | | |
B. Clamp the chest tube once every | | | | |
| shift C. Encourage coughing and deep
| | | | |
breathing
|
D. Milk the chest tube every 2 hours
| | | | | | |
When caring for a male patient who has just had a
| | | | | | | | | |
| totallaryngectomy, the nurse should plan to:
| | | | | |
A. Encourage oral feeding as soon as possible | | | | | |
B. Develop an alternative communication method | | | |
C. Keep the tracheostomy cuff fully inflated
| | | | |
D. Keep the patient flat in bed| | | | |
A male patient has a sucking stab wound to the chest. Which
| | | | | | | | | | |
actionshould the nurse take first?
| | | | | |
A. Drawing blood for a hematocrit and hemoglobin level | | | | | | |
, B. Applying a dressing over the wound and taping it on three sides
| | | | | | | | | | |
C. Preparing a chest tube insertion tray
| | | | |
D. Preparing to start an I.V. line
| | | | |
| | | | | | |
ANSWERS
| |
A male adult patient on mechanical ventilation is
| | | | | | |
receiving pancuronium bromide (Pavulon), 0.01 mg/kg I.V. as
| | | | | | |
needed.Which assessment finding indicates that the patient needs
| | | | | | | | |
| another pancuronium dose? | |
A. Leg movement |
B. Finger movement |
C. Lip movement |
D. Fighting the ventilator | |
On auscultation, which finding suggests a right pneumothorax?
| | | | | | |
A. Bilateral inspiratory and expiratory | | |
| crackles B. Absence of breaths sound in the
| | | | | | |
| right thorax |
C. Inspiratory wheezes in the right thorax
| | | | | |
D. Bilateral pleural friction rub.
| | | |
Rhea, confused and short breath, is brought to the emergency
| | | | | | | | |
| department by a family member. The medical history reveals | | | | | | | |
| chronicbronchitis and hypertension. To learn more about the
| | | | | | | |
| current respiratory problem, the doctor orders a chest x-ray and
| | | | | | | | |
arterial blood gas (ABG) analysis. When reviewing the ABG report,
| | | | | | | | |
thenurses sees many abbreviations. What does a lowercase “a” in
| | | | | | | | | | |
,| ABG value present?
| |
A. Acid-base
| balanceB. Arterial | |
Blood
|
C. Arterial oxygen saturation
| | |
D. Alveoli
|
A male patient is admitted to the healthcare facility for
| | | | | | | | |
treatment of chronic obstructive pulmonary disease. Which
| | | | | | |
| nursing diagnosis is most important for this patient?
| | | | | | |
A. Activity intolerance related to fatigue
| | | |
B. Anxiety related to actual threat to health status
| | | | | | |
C. Risk for infection related to retained secretions
| | | | | |
D. Impaired gas exchange related to airflow obstruction
| | | | | |
Nurse Ruth assessing a patient for tracheal displacement
| | | | | | |
shouldknow that the trachea will deviate toward the:
| | | | | | | | |
,A. Contralateral side in a simple pneumothorax | | | | |
B. Affected side in a hemothorax | | | |
C. Affected side in a tension | | | |
| pneumothoraxD. Contralateral side in | | | |
hemothorax
|
After undergoing a left pneumonectomy, a female patient has a
| | | | | | | | |
| chest tube in place for drainage. When caring for this patient, the
| | | | | | | | | | |
| nursemust: |
A. Monitor fluctuations in the water-seal chamber
| | | | |
B. Clamp the chest tube once every | | | | |
| shift C. Encourage coughing and deep
| | | | |
breathing
|
D. Milk the chest tube every 2 hours
| | | | | | |
When caring for a male patient who has just had a
| | | | | | | | | |
| totallaryngectomy, the nurse should plan to:
| | | | | |
A. Encourage oral feeding as soon as possible | | | | | |
B. Develop an alternative communication method | | | |
C. Keep the tracheostomy cuff fully inflated
| | | | |
D. Keep the patient flat in bed| | | | |
A male patient has a sucking stab wound to the chest. Which
| | | | | | | | | | |
actionshould the nurse take first?
| | | | | |
A. Drawing blood for a hematocrit and hemoglobin level | | | | | | |
, B. Applying a dressing over the wound and taping it on three sides
| | | | | | | | | | |
C. Preparing a chest tube insertion tray
| | | | |
D. Preparing to start an I.V. line
| | | | |