Respiratory System NCLEX Practice Questions and Reviewer (220 Questions)
Updated on
By Matt Vera BSN, R.N.
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Hello and welcome to your NCLEX reviewer and practice questions quiz for respiratory system disorders! This nursing test bank will test your competence in managing patients with respiratory disorders such as pneumonia, COPD, pleural effusion, asthma, and more. This quiz aims to help student nurses to grasp and master the concepts of respiratory system disorders.
Respiratory System Disorders NCLEX Nursing Test Bank
Here are the NCLEX practice questions for respiratory system disorders. This nursing test bank set includes 220 NCLEX-style practice questions that cover nursing care management of patients with chronic obstructive pulmonary disease (COPD), asthma, pneumonia, pleural effusion, and other respiratory system disorders. Use these questions to help you review for the respiratory system disorders and as an alternative to Quizlet.
All questions on this set are updated to give you the most challenging questions, along with insightful rationales to reinforce learning.
Please be aware that our test banks are ALWAYS FREE OF CHARGE, and NO REGISTRATION IS REQUIRED. Nurseslabs HAVE NOT and WILL NEVER ASK for your credit card details or any personal information to access our practice questions. Nurseslabs is committed to making this service FREE AND ACCESSIBLE FOR ALL who wants to advance their careers especially students and nurses.
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Quiz guidelines:
Comprehend each item. Read and understand each question before choosing the best answer. The exam has no time limit so that you can make sense of each item at your own pace.
Review your answers. Once you’re done with all the questions, you’ll be redirected to the Quiz Summary table, where you’ll be able to review which questions you’ve answered or may have skipped. Review your answers once more before pressing the Finish Quiz button.
Read the rationales. After you have reviewed your answers, click on the Finish Quiz button to record your answers and show your score. Click on the View Questions button to review the quiz and read through the rationales for each question.
Let us know your feedback! Comment us your thoughts, scores, ratings, and questions about the quiz in the comments section below.
4.Asthma and COPD NCLEX Practice | Quiz #2: 30 Questions
Where are the rationales? Please click the View Questions button below to review your answers and read through the rationales for each question.
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Question 1 of 30
1. Question
A nurse reviews the arterial blood gas results of a patient and notes the following: pH 7.45; PCO2 30 mm Hg; and bicarbonate concentration of 22 mEq/L. The nurse analyzes these results as indicating:
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Question 2 of 30
2. Question
A client is scheduled for blood to be drawn from the radial artery for an ABG determination. Before the blood is drawn, an Allen’s test is performed to determine the adequacy of the:
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Question 3 of 30
3. Question
A nurse is caring for a client with a nasogastric tube that is attached to low suction. The nurse monitors the client, knowing that the client is at risk for which acid-base disorder?
Correct
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Question 4 of 30
4. Question
A nurse caring for a client with an ileostomy understands that the client is most at risk for developing which acid-base disorder?
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Question 5 of 30
5. Question
A nurse is caring for a client with diabetic ketoacidosis and documents that the client is experiencing Kussmaul’s respirations. Based on this documentation, which of the following did the nurse observe?
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Question 6 of 30
6. Question
A nurse understands that the excessive use of oral antacids containing bicarbonate can result in which acid-base disturbance?
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Question 7 of 30
7. Question
A nurse is caring for a client with renal failure. Blood gas results indicate a pH of 7.30; a PCO2 of 32 mm Hg, and a bicarbonate concentration of 20 mEq/L. The nurse has determined that the client is experiencing metabolic acidosis. Which of the following laboratory values would the nurse expect to note?
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Question 8 of 30
8. Question
A nurse is preparing to obtain an arterial blood gas specimen from a client and plans to perform Allen’s test on the client. Number in order of priority the steps for performing the Allen’s test
Release pressure from the ulnar artery.
Ask the client to open and close the hand repeatedly.
Explain the procedure to the client.
Apply pressure over the ulnar and radial arteries.
Assess the color of the extremity distal to the pressure point.
View Answers:
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Question 9 of 30
9. Question
A nurse is preparing to obtain a sputum specimen from a client. Which of the following nursing actions will facilitate obtaining the specimen?
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Question 10 of 30
10. Question
A nurse is caring for a client after a bronchoscopy and biopsy. Which of the following signs if noted in the client should be reported immediately to the physician?
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Question 11 of 30
11. Question
A nurse is suctioning fluids from a client via a tracheostomy tube. When suctioning, the nurse must limit the suctioning to a maximum of:
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Question 12 of 30
12. Question
A nurse is suctioning fluids from a client through an endotracheal tube. During the suctioning procedure, the nurse notes on the monitor that the heart rate decreases. Which of the following is the most appropriate nursing intervention?
Correct
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Question 13 of 30
13. Question
An unconscious client is admitted to an emergency room. Arterial blood gas measurements reveal a pH of 7.30, a low bicarbonate level, a normal carbon dioxide level, and a normal oxygen level. An elevated potassium level is also present. These results indicate the presence of:
Correct
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Question 14 of 30
14. Question
A nurse is caring for a client hospitalized with acute exacerbation of COPD. Which of the following would the nurse expect to note on assessment of this client?
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Question 15 of 30
15. Question
An oxygenated delivery system is prescribed for a client with COPD to deliver a precise oxygen concentration. Which of the following types of oxygen delivery systems would the nurse anticipate to be prescribed?
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Question 16 of 30
16. Question
Theophylline (Theo-Dur) tablets are prescribed for a client with chronic airflow limitation, and the nurse instructs the client about the medication. Which statement by the client indicates a need for further teaching?
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Question 17 of 30
17. Question
A nurse is caring for a client with emphysema. The client is receiving oxygen. The nurse assesses the oxygen flow rate to ensure that it does not exceed:
Correct
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Question 18 of 30
18. Question
The nurse reviews the ABG values of a client. The results indicate respiratory acidosis. Which of the following values would indicate that this acid-base imbalance exists?
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Question 19 of 30
19. Question
A nurse instructs a client to use the pursed lip method of breathing. The client asks the nurse about the purpose of this type of breathing. The nurse responds, knowing that the primary purpose of pursed lip breathing is:
Correct
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Question 20 of 30
20. Question
A nurse reviews the ABG values and notes a pH of 7.50, a PCO2 of 30 mm Hg, and an HCO3 of 25 mEq/L. The nurse interprets these values as indicating:
Correct
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Question 21 of 30
21. Question
The nurse in charge is teaching a client with emphysema how to perform pursed-lip breathing. The client asks the nurse to explain the purpose of this breathing technique. Which explanation should the nurse provide?
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Question 22 of 30
22. Question
After receiving an oral dose of codeine for an intractable cough, the male client asks the nurse, “How long will it take for this drug to work?” How should the nurse respond?
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Question 23 of 30
23. Question
A male client suffers acute respiratory distress syndrome as a consequence of shock. The client’s condition deteriorates rapidly, and endotracheal (ET) intubation and mechanical ventilation are initiated. When the high-pressure alarm on the mechanical ventilator sounds, the nurse starts to check for the cause. Which condition triggers the high-pressure alarm?
Correct
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Question 24 of 30
24. Question
A female client with chronic obstructive pulmonary disease (COPD) takes anhydrous theophylline, 200 mg P.O. every 8 hours. During a routine clinic visit, the client asks the nurse how the drug works. What is the mechanism of action of anhydrous theophylline in treating a nonreversible obstructive airway disease such as COPD?
Correct
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Question 25 of 30
25. Question
A male client with pneumococcal pneumonia is admitted to an acute care facility. The client in the next room is being treated for mycoplasmal pneumonia. Despite the different causes of the various types of pneumonia, all of them share which feature?
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Question 26 of 30
26. Question
A client with Guillain-Barré syndrome develops respiratory acidosis as a result of reduced alveolar ventilation. Which combination of arterial blood gas (ABG) values confirms respiratory acidosis?
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Question 27 of 30
27. Question
A male client admitted to an acute care facility with pneumonia is receiving supplemental oxygen, 2 L/minute via nasal cannula. The client’s history includes chronic obstructive pulmonary disease (COPD) and coronary artery disease. Because of these history findings, the nurse closely monitors the oxygen flow and the client’s respiratory status. Which complication may arise if the client receives a high oxygen concentration?
Correct
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Question 28 of 30
28. Question
At 11 p.m., a male client is admitted to the emergency department. He has a respiratory rate of 44 breaths/minute. He’s anxious, and wheezes are audible. The client is immediately given oxygen by face mask and methylprednisolone (Depo-medrol) I.V. At 11:30 p.m., the client’s arterial blood oxygen saturation is 86% and he’s still wheezing. The nurse should plan to administer:
Correct
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Question 29 of 30
29. Question
After undergoing a thoracotomy, a male client is receiving epidural analgesia. Which assessment finding indicates that the client has developed the most serious complication of epidural analgesia?
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Incorrect
Question 30 of 30
30. Question
The nurse in charge formulates a nursing diagnosis of Activity intolerance related to inadequate oxygenation and dyspnea for a client with chronic bronchitis. To minimize this problem, the nurse instructs the client to avoid conditions that increase oxygen demands. Such conditions include:
Correct
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4.Asthma and COPD NCLEX Practice | Quiz #2: 30 Questions
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Matt Vera, a registered nurse since 2009, leverages his experiences as a former student struggling with complex nursing topics to help aspiring nurses as a full-time writer and editor for Nurseslabs, simplifying the learning process, breaking down complicated subjects, and finding innovative ways to assist students in reaching their full potential as future healthcare providers.
8 thoughts on “Respiratory System NCLEX Practice Questions and Reviewer (220 Questions)”
Thank you so much
Thank u 😊🤞
These quizzes are very helpful in nclex preparation.straightforward and detailed rationales making understanding of the topic very easy.
Thanks for the MCQs. I learned a lot.
Thanks, it has been helpful!
Really helpful. I’m gonna study hard
thank you, will be doing more nclex questions.
Thank you for the mcqs. I’m gonna study really hard. This is really helpful and I appreciate your effort on us to fulfil our dreams ❤