Nclex-Rn Practice Questions-Care Of The Adult - Respiratory Disorders Part 1
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Question 1 |
A client who has been experiencing a chronic illness develops pneumonia. The nurse is aware that the factor most likely contributing to the client’s development of pneumonia is:
A | dehydration. |
B | group living. |
C | malnutrition. |
D | severe periodontal disease. |
Question 2 |
A client tells the nurse that he was recently diagnosed with an allergy to Chinese food after he experienced an asthmatic attack. The nurse determines that teaching is successful when the client makes which statement?
A | “I should only eat Chinese food once per month.” |
B | “I should use my inhalers before eating Chinese food.” |
C | “I should avoid Chinese food because this is a trigger for me.” |
D | “I should determine other causes because Chinese food wouldn’t cause such a violent reaction.” |
Question 3 |
A client with acute asthma is experiencing inspiratory and expiratory wheezes and a decreased forced expiratory volume. What is the priority intervention by the nurse?
A | Beta-adrenergic blockers |
B | Bronchodilators |
C | Inhaled steroids |
D | Oral steroids |
Question 4 |
A client recently experienced a common cold and a subsequent asthma attack. Based on the assessment findings, the nurse determines that the client is experiencing which type of asthma?
A | Emotional |
B | Allergic |
C | Nonallergic |
D | Mediated |
Question 5 |
The nurse is performing an assessment on a client with a suspected diagnosis of asthma. Which assessment finding supports the diagnosis?
A | Circumoral cyanosis |
B | Increased forced expiratory volume |
C | Inspiratory and expiratory wheezing |
D | Normal breath sounds |
Question 6 |
A client has been diagnosed with active tuberculosis (TB) and asks the nurse if he will be admitted to the hospital. The nurse responds that hospitalization would be most likely to occur:
A | to evaluate his condition. |
B | to determine his compliance. |
C | to prevent spread of the disease. |
D | to determine the need for antibiotic therapy. |
Question 7 |
A client with a productive cough, chills, and night sweats is suspected of having active tuberculosis (TB). The most important intervention by the nurse would be?
A | Maintain the client on respiratory isolation. |
B | Prepare the client to be discharged on bed rest. |
C | Administer the tuberculin test ordered by the physician. |
D | Administer the isoniazid ordered by the physician immediately before discharge. |
Question 8 |
A client has received a preliminary diagnosis of tuberculosis. In order to obtain a definitive diagnosis, the nurse anticipates that the physician will order which test?
A | Chest X-ray |
B | Mantoux test |
C | Sputum culture |
D | Tuberculin test |
Question 9 |
A client has a positive Mantoux test, and a chest X-ray is ordered. The client asks the nurse the reason for the X-ray. What is the best response by the nurse?
A | To confirm the diagnosis |
B | To determine if a repeat skin test is needed |
C | To determine the extent of lesions |
D | To determine if this is a primary or secondary infection |
Question 10 |
A client develops pneumonia. The nurse can expect which pathophysiological mechanism to develop as a secondary response to the pneumonia?
A | Atelectasis |
B | Bronchiectasis |
C | Effusion |
D | Inflammation |
Question 11 |
An elderly client developed pneumonia. The nurse is aware that the initial symptom the client may manifest is:
A | altered mental status and dehydration. |
B | fever and chills. |
C | hemoptysis and dyspnea. |
D | pleuritic chest pain and cough. |
Question 12 |
The nurse is conducting a class for family members of clients diagnosed with tuberculosis (TB). The nurse determines that teaching is effective when the family member states:
A | “The disease is transmitted by sexual contact.” |
B | “The disease is transmitted by contaminated needles.” |
C | “The disease is transmitted through contaminated eating utensils.” |
D | “The disease is transmitted by droplets exhaled from an infected person.” |
Question 13 |
When auscultating the chest of a client with pneumonia, the nurse should expect to hear which type of sounds over areas of consolidation?
A | Bronchial |
B | Bronchovesicular |
C | Tubular |
D | Vesicular |
Question 14 |
The client is exhibiting symptoms indicative of pneumonia. The nurse anticipates that which diagnostic test will be orders to confirm the diagnosis?
A | Arterial blood gas (ABG) analysis |
B | Chest X-ray |
C | Blood cultures |
D | Sputum culture and sensitivity |
Question 15 |
A client has recently been diagnosed with tuberculosis (TB). The nurse caring for the client anticipates that the client will develop:
A | active TB within 2 weeks. |
B | active TB within 1 month. |
C | a fever that requires hospitalization. |
D | a positive skin test. |
Question 16 |
A client is diagnosed with active tuberculosis and started on triple antibiotic therapy. The nurse would be concerned if the client demonstrates which of the following?
A | Decreased shortness of breath |
B | Improved chest X-ray |
C | Nonproductive cough |
D | Positive acid-fast bacilli in a sputum sample after 2 months of treatment |
Question 17 |
A client received a purified protein derivative (PPD) test for tuberculosis (TB) on the right forearm. The site is reddened and raised about 3 mm. The nurse interprets this result as:
A | indeterminate. |
B | needs to be redone. |
C | negative. |
D | positive. |
Question 18 |
A chest X-ray shows a client’s lungs to be clear; however, the Mantoux test is positive with 10 mm of induration, and the previous test was negative. The nurse explains to the client that these test results are possible because:
A | he had tuberculosis (TB) in the past and no longer has it. |
B | he was successfully treated for TB, but skin tests always stay positive. |
C | he’s a “seroconverter,” meaning the TB has gotten to his bloodstream. |
D | he’s a “tuberculin converter,” which means he has been infected with TB since his last skin test. |
Question 19 |
A client was infected with tuberculosis (TB) bacillus 10 years ago but never developed the disease. He’s now being treated for cancer. The client begins to develop signs of TB. The nurse suspects the client is exhibiting:
A | active infection. |
B | latent infection. |
C | superinfection. |
D | tertiary infection. |
Question 20 |
A client has been treated with a 10-day course of antibiotic therapy for right lower lobe pneumonia and is scheduled to be discharged today. Select the assessment finding that indicates the client is ready to be discharged.
A | Continued dyspnea |
B | Fever of 102.7° F (38.97° C) |
C | Respiratory rate of 32 breaths/minute |
D | Vesicular breath sounds in right base |
Question 21 |
A nurse working in a rural county’s Public Health Department has been alerted that there is an outbreak of tuberculosis (TB) in the area. The client most at risk for developing TB would be?
A | A 16-year-old female high school student |
B | A 33-year-old day-care worker |
C | A 43-year-old homeless man with a history of alcoholism |
D | A 54-year-old businessman |
Question 22 |
A 19-year-old client comes to the emergency department with acute asthma. His respiratory rate is 44 breaths/minute, and he appears in acute respiratory distress. What is the most important action for the nurse to take?
A | Take a full medical history. |
B | Give a bronchodilator by nebulizer. |
C | Apply a cardiac monitor to the client. |
D | Provide emotional support to the client. |
Question 23 |
A 20-year-old client is being treated for pneumonia. He has a persistent cough and complains of severe pain when coughing. The most appropriate instruction the nurse would give the client to reduce discomfort is:
A | “Hold in your cough as much as possible.” |
B | “Place the head of your bed flat to help with coughing.” |
C | “Restrict fluids to help decrease the amount of sputum.” |
D | “Splint your chest wall with a pillow for comfort.” |
Question 24 |
The nurse performs a purified protein derivative (PPD) test on an adult client being screened for TB. The client reports having negative PPD test results in the past. The nurse instructs the client to return and have the results interpreted:
A | immediately after performing the test. |
B | 24 hours after performing the test. |
C | 48 hours after performing the test. |
D | 1 week after performing the test. |
Question 25 |
The nurse is reviewing the chart of a 58-year-old male client with community-acquired pneumonia and determines that which of the following is the most likely causative organism?
A | Haemophilus influenzae |
B | Klebsiella pneumoniae |
C | Streptococcus pneumoniae |
D | Staphylococcus aureus |
Question 26 |
A 78-year-old client is admitted with a diagnosis of dehydration and change in mental status. He’s being hydrated with I.V. fluids. When the nurse takes his vital signs, she notes he has a fever of 103.7° F (39.47° C), a cough producing yellow sputum, and pleuritic chest pain. The nurse suspects this client may have developed:
A | acute respiratory distress syndrome (ARDS). |
B | myocardial infarction (MI). |
C | pneumonia. |
D | tuberculosis (TB). |
Question 27 |
A client with a positive skin test for tuberculosis (TB) is not showing signs of active disease and is treated with isoniazid, 300 mg daily. The nurse explains to the client that the medication should be taken for how long?
A | 10 to 14 days |
B | 2 to 4 weeks |
C | 3 to 6 months |
D | 9 to 12 months |
Question 28 |
A client in a long-term care facility has been receiving continuous tube feedings. The nurse notes the client has a cough producing tan sputum and is now febrile to 102.7° F (38.9° C). The nurse auscultates the client’s lung fields and hears bronchial breath sounds in the right middle lobe. The nurse suspects the client may have developed:
A | atelectasis. |
B | bronchitis. |
C | pneumonia. |
D | pulmonary embolism. |
Question 29 |
A client has been diagnosed with active tuberculosis (TB). The nurse should assess the client for:
A | chest and lower back pain. |
B | chills, fever, night sweats, and hemoptysis. |
C | fever of more than 104.7° F (40.7° C) and nausea. |
D | headache and photophobia. |
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