SAUNDERS RESPIRATORY NCLEX QUESTIONS AND CORRECT
DETAILED ANSWERS A COMPLETE SOLUTION THAT COVERS
2024/2025 BEST GRADED TO SCORE A+
The nurse is preparing to administer oxygen to a client with a diagnosis of chronic
obstructive pulmonary disease (COPD) and is at risk for carbon dioxide narcosis. The nurse
should check to see that the oxygen flow rate is prescribed at which rate?
A. 2 to 3 liters per minute
B. 4 to 5 liters per minute
C. 6 to 8 liters per minute
D. 8 to 10 liters per minute - CORRECT ANSWERS A
In carbon dioxide narcosis, the central chemoreceptors lose their sensitivity to increased
levels of carbon dioxide and no longer respond by increasing the rate and depth of
respiration. For these clients, the stimulus to breathe is a decreased arterial oxygen
concentration. In the client with COPD, a low arterial oxygen level is the client's primary
drive for breathing. If high levels of oxygen are administered, the client may lose the
respiratory drive, and respiratory failure results. Thus, the nurse checks the flow of oxygen to
see that it does not exceed 2 to 3 liters per minute, unless a specific health care provider
prescription indicates a different flow of the oxygen.
The nurse is giving a client with chronic obstructive pulmonary disease (COPD) information
related to the positions used to breathe more easily. The nurse teaches the client to assume
which position?
A. Sit bolt upright in bed with the arms crossed over the chest.
B. Lie on the side with the head of the bed at a 45-degree angle.
C. Sit in a reclining chair tilted slightly back with the feet elevated.
D. Sit on the edge of the bed with the arms leaning on an overbed table. - CORRECT
ANSWERS D
Proper positioning can decrease episodes of dyspnea in a client with COPD. Appropriate
positions include sitting upright while leaning on an overbed table, sitting upright in a chair
with the arms resting on the knees, and leaning against a wall while standing. Sitting bolt
upright with arms folded across the chest restricts the movement of the anterior and
posterior walls of the lung, and side-lying with the head of bed raised to a 45 degree
position restricts the expansion of the lateral wall of the lung. Option 3 restricts posterior
lung expansion.
, SAUNDERS RESPIRATORY NCLEX QUESTIONS AND CORRECT
DETAILED ANSWERS A COMPLETE SOLUTION THAT COVERS
2024/2025 BEST GRADED TO SCORE A+
A client diagnosed with chronic obstructive pulmonary disease (COPD) is admitted to the
hospital with an exacerbation. Which factor contributed most to the change in client status
A. Decreased fat intake
B. Decreased fluid intake
C. Sleeping soundly during the night
D. Anxiety about the upcoming pulmonologist visit - CORRECT ANSWERS B
The client with exacerbation of COPD has ineffective coughing and excess sputum in the
airways. The nurse assesses the client for contributing factors such as dehydration and a lack
of knowledge of proper coughing techniques. The reduction of these factors helps limit
exacerbations of the disease. Decreased fat intake, sleeping soundly, and anxiety related to
scheduled pulmonologist visit are not directly associated with this change in condition.
The nurse has been preparing a client diagnosed with chronic obstructive pulmonary disease
for discharge. Which statement by the client indicates the need for further teaching about
nutrition?
A. "I will rest a few minutes before I eat."
B. "I will not eat as much cabbage as I once did."
C."I will certainly try to drink 3 L of fluid every day."
D. "It's best to eat three large meals a day, so that I will get all my nutrients." - CORRECT
ANSWERS D.
Large meals distend the abdomen and elevate the diaphragm, which may interfere with
breathing for the client diagnosed with chronic obstructive pulmonary disease. Resting
before eating may decrease the fatigue that is often associated with chronic obstructive
pulmonary disease. Gas-forming foods may cause bloating, which interferes with normal
diaphragmatic breathing. Adequate fluid intake helps liquefy pulmonary secretions.
A client is newly diagnosed with chronic obstructive pulmonary disease (COPD). The client
returns home after a short hospitalization. The home care nurse should most importantly
plan teaching strategies that are designed to do what?
DETAILED ANSWERS A COMPLETE SOLUTION THAT COVERS
2024/2025 BEST GRADED TO SCORE A+
The nurse is preparing to administer oxygen to a client with a diagnosis of chronic
obstructive pulmonary disease (COPD) and is at risk for carbon dioxide narcosis. The nurse
should check to see that the oxygen flow rate is prescribed at which rate?
A. 2 to 3 liters per minute
B. 4 to 5 liters per minute
C. 6 to 8 liters per minute
D. 8 to 10 liters per minute - CORRECT ANSWERS A
In carbon dioxide narcosis, the central chemoreceptors lose their sensitivity to increased
levels of carbon dioxide and no longer respond by increasing the rate and depth of
respiration. For these clients, the stimulus to breathe is a decreased arterial oxygen
concentration. In the client with COPD, a low arterial oxygen level is the client's primary
drive for breathing. If high levels of oxygen are administered, the client may lose the
respiratory drive, and respiratory failure results. Thus, the nurse checks the flow of oxygen to
see that it does not exceed 2 to 3 liters per minute, unless a specific health care provider
prescription indicates a different flow of the oxygen.
The nurse is giving a client with chronic obstructive pulmonary disease (COPD) information
related to the positions used to breathe more easily. The nurse teaches the client to assume
which position?
A. Sit bolt upright in bed with the arms crossed over the chest.
B. Lie on the side with the head of the bed at a 45-degree angle.
C. Sit in a reclining chair tilted slightly back with the feet elevated.
D. Sit on the edge of the bed with the arms leaning on an overbed table. - CORRECT
ANSWERS D
Proper positioning can decrease episodes of dyspnea in a client with COPD. Appropriate
positions include sitting upright while leaning on an overbed table, sitting upright in a chair
with the arms resting on the knees, and leaning against a wall while standing. Sitting bolt
upright with arms folded across the chest restricts the movement of the anterior and
posterior walls of the lung, and side-lying with the head of bed raised to a 45 degree
position restricts the expansion of the lateral wall of the lung. Option 3 restricts posterior
lung expansion.
, SAUNDERS RESPIRATORY NCLEX QUESTIONS AND CORRECT
DETAILED ANSWERS A COMPLETE SOLUTION THAT COVERS
2024/2025 BEST GRADED TO SCORE A+
A client diagnosed with chronic obstructive pulmonary disease (COPD) is admitted to the
hospital with an exacerbation. Which factor contributed most to the change in client status
A. Decreased fat intake
B. Decreased fluid intake
C. Sleeping soundly during the night
D. Anxiety about the upcoming pulmonologist visit - CORRECT ANSWERS B
The client with exacerbation of COPD has ineffective coughing and excess sputum in the
airways. The nurse assesses the client for contributing factors such as dehydration and a lack
of knowledge of proper coughing techniques. The reduction of these factors helps limit
exacerbations of the disease. Decreased fat intake, sleeping soundly, and anxiety related to
scheduled pulmonologist visit are not directly associated with this change in condition.
The nurse has been preparing a client diagnosed with chronic obstructive pulmonary disease
for discharge. Which statement by the client indicates the need for further teaching about
nutrition?
A. "I will rest a few minutes before I eat."
B. "I will not eat as much cabbage as I once did."
C."I will certainly try to drink 3 L of fluid every day."
D. "It's best to eat three large meals a day, so that I will get all my nutrients." - CORRECT
ANSWERS D.
Large meals distend the abdomen and elevate the diaphragm, which may interfere with
breathing for the client diagnosed with chronic obstructive pulmonary disease. Resting
before eating may decrease the fatigue that is often associated with chronic obstructive
pulmonary disease. Gas-forming foods may cause bloating, which interferes with normal
diaphragmatic breathing. Adequate fluid intake helps liquefy pulmonary secretions.
A client is newly diagnosed with chronic obstructive pulmonary disease (COPD). The client
returns home after a short hospitalization. The home care nurse should most importantly
plan teaching strategies that are designed to do what?
