Quiz: NCLEX Practice Test For Respiratory System

1.

The nurse is caring for a male client with a chest tube. If the chest drainage system is accidentally disconnected, what should the nurse plan to do?

Discuss
- A.
  
  Place the end of the chest tube in a container of sterile saline.
- B.
  
  Apply an occlusive dressing and notify the physician.
- C.
  
  Clamp the chest tube immediately.
- D.
  
  Secure the chest tube with tape.
2.

A male elderly client is admitted to an acute care facility with influenza. The nurse monitors the client closely for complications. What is the most common complication of influenza?
- A.
  
  Septicemia
- B.
  
  Pneumonia
- C.
  
  Meningitis
- D.
  
  Pulmonary edema
3.

A female client has a tracheostomy but doesn’t require continuous mechanical ventilation. When weaning the client from the tracheostomy tube, the nurse initially should plug the opening in the tube for:

Discuss
- A.
  
  5 to 60 seconds.
- B.
  
  5 to 20 minutes.
- C.
  
  30 to 40 minutes.
- D.
  
  45 to 60 minutes.
4.

Gina, a home health nurse is visiting a home care client with advanced lung cancer. Upon assessing the client, the nurse discovers wheezing, bradycardia, and a respiratory rate of 10 breaths/minute. These signs are associated with which condition?
- A.
  
  Hypoxia
- B.
  
  Delirium
- C.
  
  Hyperventilation
- D.
  
  Semiconsciousness
5.

A male 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?

Discuss
- A.
  
  PH 5.0; PaCO2 30 mm Hg
- B.
  
  PH 7.40; PaCO2 35 mm Hg
- C.
  
  PH 7.35; PaCO2 40 mm Hg
- D.
  
  PH 7.25; PaCO2 50 mm Hg
6.

A female client with interstitial lung disease is prescribed prednisone (Deltasone) to control inflammation. During client teaching, the nurse stresses the importance of taking prednisone exactly as prescribed and cautions against discontinuing the drug abruptly. A client who discontinues prednisone abruptly may experience:
- A.
  
  Hyperglycemia and glycosuria.
- B.
  
  Acute adrenocortical insufficiency.
- C.
  
  GI bleeding.
- D.
  
  Restlessness and seizures.
7.

A male client is admitted to the health care facility for treatment of chronic obstructive pulmonary disease. Which nursing diagnosis is most important for this client?

Discuss
- A.
  
  Activity intolerance related to fatigue.
- B.
  
  Anxiety related to actual threat to health status.
- C.
  
  Risk for infection related to retained secretions.
- D.
  
  Impaired gas exchange related to airflow obstruction.
8.

A male client abruptly sits up in bed, reports having difficulty breathing and have an arterial oxygen saturation of 88%. Which mode of oxygen delivery would most likely reverse the manifestations?

Discuss
- A.
  
  Simple mask
- B.
  
  Non-rebreather mask
- C.
  
  Face tent
- D.
  
  Nasal cannula