NCLEX Practice Test For Respiratory System 2 (exam Mode) By Rnpedia.com

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 NCLEX practice test for respiratory system 2 (exam mode) by rnpedia.com
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  • 1. 
    A male client who takes theophylline for chronic obstructive pulmonary disease is seen in the urgent care center for respiratory distress. Once the client is stabilized, the nurse begins discharge teaching. The nurse would be especially vigilant to include information about complying with medication therapy if the client’s baseline theophylline level was:
    • A. 

      10 mcg/mL

    • B. 

      12 mcg/mL

    • C. 

      15 mcg/mL

    • D. 

      18mcg/mL


  • 2. 
    Nurse Kim is caring for a client with a pneumothorax and who has had a chest tube inserted notes continuous gentle bubbling in the suction control chamber. What action is appropriate?
    • A. 

      Do nothing, because this is an expected finding.

    • B. 

      Immediately clamp the chest tube and notify the physician.

    • C. 

      Check for an air leak because the bubbling should be intermittent.

    • D. 

      Increase the suction pressure so that bubbling becomes vigorous


  • 3. 
    A nurse has assisted a physician with the insertion of a chest tube. The nurse monitors the adult client and notes fluctuation of the fluid level in the water seal chamber after the tube is inserted. Based on this assessment, which action would be appropriate?
    • A. 

      Inform the physician.

    • B. 

      Continue to monitor the client.

    • C. 

      Reinforce the occlusive dressing

    • D. 

      Encourage the client to deep-breathe


  • 4. 
    The nurse caring for a male client with a chest tube turns the client to the side, and the chest tube accidentally disconnects. The initial nursing action is to:
    • A. 

      Call the physician.

    • B. 

      Place the tube in a bottle of sterile water.

    • C. 

      Immediately replace the chest tube system

    • D. 

      Place the sterile dressing over the disconnection site.


  • 5. 
    Nurse Paul is assisting a physician with the removal of a chest tube. The nurse should instruct the client to:
    • A. 

      Exhale slowly

    • B. 

      Stay very still.

    • C. 

      Inhale and exhale quickly.

    • D. 

      Perform the Valsalva maneuver


  • 6. 
    A nurse is caring for a male client immediately after removal of the endotracheal tube. The nurse reports which of the following signs immediately if experienced by the client?
    • A. 

      Stridor

    • B. 

      Occasional pink-tinged sputum

    • C. 

      A few basilar lung crackles on the right

    • D. 

      Respiratory rate of 24 breaths/min


  • 7. 
    An emergency room nurse is assessing a female client who has sustained a blunt injury to the chest wall. Which of these signs would indicate the presence of a pneumothorax in this client?
    • A. 

      A low respiratory

    • B. 

      Diminished breathe sounds

    • C. 

      The presence of a barrel chest

    • D. 

      A sucking sound at the site of injury


  • 8. 
    While changing the tapes on a tracheostomy tube, the male client coughs and the tube is dislodged. The initial nursing action is to:
    • A. 

      Call the physician to reinsert the tube.

    • B. 

      Grasp the retention sutures to spread the opening

    • C. 

      Call the respiratory therapy department to reinsert the tracheotomy.

    • D. 

      Cover the tracheostomy site with a sterile dressing to prevent infection.


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