Respiratory System NCLEX Practice Questions and Reviewer (220 Questions)

Aminophylline (theophylline) is prescribed for a client with acute bronchitis. A nurse administers the medication, knowing that the primary action of this medication is to:

A client is receiving isoetharine hydrochloride (Bronkosol) via a nebulizer. The nurse monitors the client for which side effect of this medication?

A nurse teaches a client about the use of a respiratory inhaler. Which action by the client indicated a need for further teaching?

A female client is scheduled to have a chest radiograph. Which of the following questions is of most importance to the nurse assessing this client?

A client has just returned to a nursing unit following bronchoscopy. A nurse would implement which of the following nursing interventions for this client?

A client has an order to have radial ABG drawn. Before drawing the sample, a nurse occludes the:

A nurse is assessing a client with chronic airflow limitation and notes that the client has a “barrel chest.” The nurse interprets that this client has which of the following forms of chronic airflow limitation?

A client has been taking benzonatate (Tessalon Perles) as prescribed. A nurse concludes that the medication is having the intended effect if the client experiences:

Which of the following would be an expected outcome for a client recovering from an upper respiratory tract infection? The client will:

Which of the following individuals would the nurse consider to have the highest priority for receiving an influenza vaccination?

A client with allergic rhinitis asks the nurse what he should do to decrease his symptoms. Which of the following instructions would be appropriate for the nurse to give the client?

An elderly client has been ill with the flu, experiencing headache, fever, and chills. After 3 days, she developed a cough productive of yellow sputum. The nurse auscultates her lungs and hears diffuse crackles. How would the nurse best interpret these assessment findings?

Guaifenesin 300 mg four times daily has been ordered as an expectorant. The dosage strength of the liquid is 200mg/5ml. How many mL should the nurse administer each dose? Fill in the blank and record your final answer using one decimal place.

Pseudoephedrine (Sudafed) has been ordered as a nasal decongestant. Which of the following is a possible side effect of this drug?

A client with COPD reports steady weight loss and being “too tired from just breathing to eat.” Which of the following nursing diagnoses would be most appropriate when planning nutritional interventions for this client?

When developing a discharge plan to manage the care of a client with COPD, the nurse should anticipate that the client will do which of the following?

Which of the following outcomes would be appropriate for a client with COPD who has been discharged to home? The client:

Which of the following physical assessment findings would the nurse expect to find in a client with advanced COPD?

Which of the following is the primary reason to teach pursed-lip breathing to clients with emphysema?

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

A client’s arterial blood gas levels are as follows: pH 7.31; PaO2 80 mm Hg, PaCO2 65 mm Hg; HCO3- 36 mEq/L. Which of the following signs or symptoms would the nurse expect?

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

The nurse teaches a client with COPD to assess for s/s of right-sided heart failure. Which of the following s/s would be included in the teaching plan?

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

1. Normal breath sounds

Which of the following ABG abnormalities should the nurse anticipate in a client with advanced COPD?

Which of the following diets would be most appropriate for a client with COPD?

The nurse is planning to teach a client with COPD how to cough effectively. Which of the following instructions should be included?

A 34-year-old woman with a history of asthma is admitted to the emergency department. The nurse notes that the client is dyspneic, with a respiratory rate of 35 breaths/minute, nasal flaring, and use of accessory muscles. Auscultation of the lung fields reveals greatly diminished breath sounds. Based on these findings, what action should the nurse take to initiate care of the client?

The nurse would anticipate which of the following ABG results in a client experiencing a prolonged, severe asthma attack?

A client with acute asthma is prescribed short-term corticosteroid therapy. What is the rationale for the use of steroids in clients with asthma?

The nurse is teaching the client how to use a metered-dose inhaler (MDI) to administer a Corticosteroid drug. Which of the following client actions indicates that he is using the MDI correctly? Select all that apply.

A client is prescribed metaproterenol (Alupent) via a metered-dose inhaler (MDI), two puffs every 4 hours. The nurse instructs the client to report side effects. Which of the following are potential side effects of metaproterenol?

A client has been taking flunisolide (Aerobid), two inhalations a day, for treatment of asthma. He tells the nurse that he has painful, white patches in his mouth. Which response by the nurse would be the most appropriate?

Which of the following health promotion activities should the nurse include in the discharge teaching plan for a client with asthma?

The client with asthma should be taught which of the following is one of the most common precipitating factors of an acute asthma attack?

A female client comes into the emergency room complaining of SOB and pain in the lung area. She states that she started taking birth control pills 3 weeks ago and that she smokes. Her VS are: 140/80, P 110, R 40. The physician orders ABG’s, results are as follows: pH: 7.50; PaCO2 29 mm Hg; PaO2 60 mm Hg; HCO3- 24 mEq/L; SaO2 86%. Considering these results, the first intervention is to:

Basilar crackles are present in a client’s lungs on auscultation. The nurse knows that these are discrete, non continuous sounds that are:

A cyanotic client with an unknown diagnosis is admitted to the E.R. In relation to oxygen, the first nursing action would be to:

Immediately following a thoracentesis, which clinical manifestations indicate that a complication has occurred and the physician should be notified?

If a client continues to hypoventilate, the nurse will continually assess for a complication of:

A client is admitted to the hospital with acute bronchitis. While taking the client’s VS, the nurse notices he has an irregular pulse. The nurse understands that cardiac arrhythmias in chronic respiratory distress are usually the result of:

Auscultation of a client’s lungs reveals crackles in the left posterior base. The nursing intervention is to:

The most reliable index to determine the respiratory status of a client is to:

A client with COPD has developed secondary polycythemia. Which nursing diagnosis would be included in the plan of care because of the polycythemia?

The physician has scheduled a client for a left pneumonectomy. The position that will most likely be ordered postoperatively for his is the:

Assessing a client who has developed atelectasis postoperatively, the nurse will most likely find:

A fifty-year-old client has a tracheostomy and requires tracheal suctioning. The first intervention in completing this procedure would be to:

A client states that the physician said the tidal volume is slightly diminished and asks the nurse what this means. The nurse explains that the tidal volume is the amount of air:

An acceleration in oxygen dissociation from hemoglobin, and thus oxygen delivery to the tissues, is caused by:

The best method of oxygen administration for client with COPD uses: