Respiratory System | Respiratory System Disorders NCLEX Quiz 23
All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.
- 1.After undergoing a left pneumonectomy. a female patient has a chest tube in place for drainage. When caring for this patient. the nurse must:
- A.
Monitor fluctuations in the water-seal chamber
- B.
Clamp the chest tube once every shift
- C.
Encourage coughing and deep breathing
- D.
Milk the chest tube every 2 hours
- 2.When caring for a male patient who has just had a total laryngectomy. the nurse should plan to:
- A.
Encourage oral feeding as soon as possible
- B.
Develop an alternative communication method
- C.
Keep the tracheostomy cuff fully inflated
- D.
Keep the patient flat in bed
- 3.A male patient has a sucking stab wound to the chest. Which action should the nurse take first?
- A.
Drawing blood for a hematocrit and hemoglobin level
- B.
Applying a dressing over the wound and taping it on three sides
- C.
Preparing a chest tube insertion tray
- D.
Preparing to start an I.V. line
- 4.For a patient with advanced chronic obstructive pulmonary disease (COPD). which nursing action best promotes adequate gas exchange?
- A.
Encouraging the patient to drink three glasses of fluid daily
- B.
Keeping the patient in semi-Fowler’s position
- C.
Using a high-flow venture mask to deliver oxygen as prescribe
- D.
Administering a sedative. as prescribe
- 5.A male patient’s X-ray result reveals bilateral white-outs. indicating adult respiratory distress syndrome (ARDS). This syndrome results from:
- A.
Cardiogenic pulmonary edema
- B.
Respiratory alkalosis
- C.
Increased pulmonary capillary permeability
- D.
Renal failure
- 6.For a female patient with chronic obstructive pulmonary disease. which nursing intervention would help maintain a patent airway?
- A.
Restricting fluid intake to 1.000 ml per day
- B.
Enforcing absolute bed rest
- C.
Teaching the patient how to perform controlled coughing
- D.
Administering prescribe sedatives regularly and in large amounts
- 7.Nurse Lei caring for a client with a pneumothorax and who has had a chest tube inserted notes continues 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 the bubbling becomes vigorous
- 8.Nurse Maureen has assisted a physician with the insertion of a chest tube. The nurse monitors the 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
- 9.Nurse Reynolds caring for a 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 bottle of sterile water
- C.
Immediately replace the chest tube system
- D.
Place a sterile dressing over the disconnection site
- 10.A nurse 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
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