Respiratory System NCLEX Practice Questions and Reviewer (220 Questions)

A comatose client needs a nasopharyngeal airway for suctioning. After the airway is inserted, he gags and coughs. Which action should the nurse take?

An 87-year-old client requires long-term ventilator therapy. He has a tracheostomy in place and requires frequent suctioning. Which of the following techniques is correct?

A client’s ABG analysis reveals a pH of 7.18, PaCO2 of 72 mm Hg, PaO2 of 77 mm Hg, and HCO3- of 24 mEq/L. What do these values indicate?

A police officer brings in a homeless client to the ER. A chest x-ray suggests he has TB. The physician orders an intradermal injection of 5 tuberculin units/0.1 ml of tuberculin purified derivative. Which needle is appropriate for this injection?

A 76-year old client is admitted for elective knee surgery. Physical examination reveals shallow respirations but no signs of respiratory distress. Which of the following is a normal physiologic change related to aging?

A 79-year-old client is admitted with pneumonia. Which nursing diagnosis should take priority?

A community health nurse is conducting an educational session with community members regarding TB. The nurse tells the group that one of the first symptoms associated with TB is:

A nurse evaluates the blood theophylline level of a client receiving aminophylline (theophylline) by intravenous infusion. The nurse would determine that a therapeutic blood level exists if any of the following were noted in the laboratory report?

Isoniazid (INH) and rifampin (Rifadin) have been prescribed for a client with TB. A nurse reviews the medical record of the client. Which of the following, if noted in the client’s history, would require physician notification?

A client is experiencing confusion and tremors is admitted to a nursing unit. An initial ABG report indicates that the PaCO2 level is 72 mm Hg, whereas the PaO2 level is 64 mm Hg. A nurse interprets that the client is most likely experiencing:

A client who is HIV+ has had a PPD skin test. The nurse notes a 7-mm area of induration at the site of the skin test. The nurse interprets the results as:

A nurse is caring for a client diagnosed with TB. Which assessment, if made by the nurse, would not be consistent with the usual clinical presentation of TB and may indicate the development of a concurrent problem?

A nurse is teaching a client with TB about dietary elements that should be increased in the diet. The nurse suggests that the client increase intake of:

Which of the following would be priority assessment data to gather from a client who has been diagnosed with pneumonia? Select all that apply.

A client with pneumonia has a temperature of 102.6*F (39.2*C), is diaphoretic, and has a productive cough. The nurse should include which of the following measures in the plan of care?

The cyanosis that accompanies bacterial pneumonia is primarily caused by which of the following?

Which of the following mental status changes may occur when a client with pneumonia is first experiencing hypoxia?

A client with pneumonia has a temperature ranging between 101° and 102°F and periods of diaphoresis. Based on this information, which of the following nursing interventions would be a priority?

Which of the following would be an appropriate expected outcome for an elderly client recovering from bacterial pneumonia?

Which of the following symptoms is common in clients with TB?

The nurse obtains a sputum specimen from a client with suspected TB for laboratory study. Which of the following laboratory techniques is most commonly used to identify tubercle bacilli in sputum?

Which of the following antituberculous drugs can cause damage to the eighth cranial nerve?

The client experiencing eighth cranial nerve damage will most likely report which of the following symptoms?

Which of the following family members exposed to TB would be at highest risk for contracting the disease?

The nurse is teaching a client who has been diagnosed with TB how to avoid spreading the disease to family members. Which statement(s) by the client indicate(s) that he has understood the nurse’s instructions? Select all that apply.

A client has a positive reaction to the PPD test. The nurse correctly interprets this reaction to mean that the client has:

INH treatment is associated with the development of peripheral neuropathies. Which of the following interventions would the nurse teach the client to help prevent this complication?

The nurse should include which of the following instructions when developing a teaching plan for clients receiving INH and rifampin for treatment for TB?

The public health nurse is providing follow-up care to a client with TB who does not regularly take his medication. Which nursing action would be most appropriate for this client?

The Causative agent of Tuberculosis is said to be: