Nclex-Rn Practice Questions-Care Of The Adult - Respiratory Disorders Part 3
Start
Congratulations - you have completed Nclex-Rn Practice Questions-Care Of The Adult - Respiratory Disorders Part 3.
You scored %%SCORE%% out of %%TOTAL%%.
Your performance has been rated as %%RATING%%
Your answers are highlighted below.
Question 1 |
A client with a fat embolism continues to be hypoxic following therapy with positive end-expiratory pressure. What is the priority intervention to reduce oxygen demand?
A | Give diuretics. |
B | Give neuromuscular blockers. |
C | Put the head of the bed flat. |
D | Use bronchodilators. |
Question 2 |
A client with a suspected diagnosis of lung cancer tells the nurse the doctor is scheduling tests to confirm the diagnosis. The nurse understands that the definitive diagnosis will be determined by:
A | bronchoscopy. |
B | chest X-ray. |
C | computed tomography (CT) scan of the chest. |
D | surgical biopsy. |
Question 3 |
The nurse is teaching clients about interventions to increase the survival rates of clients with lung cancer. The nurse determines teaching is effective when the client states that which action will increase survival?
A | Early bronchoscopy |
B | Early detection |
C | High-dose chemotherapy |
D | Smoking cessation |
Question 4 |
A client alerts the nurse that his chest tube has accidentally been removed. What is the most appropriate action by the nurse?
A | Position the client on his left side. |
B | Position the client on his right side. |
C | Apply an occlusive dressing over the site. |
D | Reinsert the chest tube that fell out. |
Question 5 |
The nurse is caring for a client who has just returned to the unit after a lobectomy. During assessment of the client, the nurse is aware that the lobectomy site:
A | remains empty. |
B | is filled with a gel by the surgeon. |
C | is filled with serous fluid. |
D | is filled by overexpansion of the remaining lobe(s). |
Question 6 |
A client who is scheduled for a pneumonectomy asks the nurse how thoracic cavity will be filled. The best response by the nurse would be?
A | The space remains filled with air only. |
B | The surgeon fills the space with a gel. |
C | Serous fluid fills the space and consolidates the region. |
D | The tissue from the other lung grows over to the other side. |
Question 7 |
A client is scheduled to undergo a pneumonectomy. The nurse determines that the client understands the rationale for cutting the phrenic nerve and hemidiaphragm paralysis when the client states the procedure will:
A | paralyze the diaphragm and reduce oxygen demand. |
B | reduce postoperative pain. |
C | increase the capacity of the remaining lung. |
D | reduce the space left by the pneumonectomy. |
Question 8 |
A preoperative client is scheduled for surgical resection after being diagnosed with lung cancer. The client correctly states that the procedure will:
A | “remove the tumor and all surrounding tissue.” |
B | “remove the tumor and as little surrounding tissue as possible.” |
C | “remove all the tumor and any collapsed alveoli in the same region.” |
D | “remove as much of the tumor as possible, without removing any alveoli.” |
Question 9 |
A nurse is admitting a client to the medical unit. The client tells the nurse that the doctor diagnosed him with a centrally located lung tumor. Upon assessment of the client, the nurse anticipates the client to exhibit:
A | coughing. |
B | hemoptysis. |
C | pleuritic pain. |
D | shoulder pain. |
Question 10 |
A client with preexisting pulmonary disease has been diagnosed with lung cancer and is being evaluated for surgery. The nurse is aware that the impact of both conditions may:
A | have no effect on the surgery. |
B | require the whole lung to be removed. |
C | prevent the resection of the entire tumor. |
D | prohibit the client from having the surgery done. |
Question 11 |
The nurse is performing preoperative teaching for a client scheduled for surgery. What should be the primary focus of the teaching?
A | Deciding if the client should have the surgery |
B | Giving emotional support to the client and his family |
C | Giving minute details of the surgery to the client and his family |
D | Providing general information to reduce client and family anxiety |
Question 12 |
The nurse is obtaining assessment data from a client with a suspected diagnosis of lung cancer. The nurse is most concerned if the client exhibits which symptom?
A | Dizziness |
B | Generalized weakness |
C | Hypotension |
D | Recurrent pleural effusions |
Question 13 |
The nurse is teaching a client about lung cancer. The nurse determines teaching was effective when the client states the primary cause of lung cancer is:
A | genetics. |
B | occupational exposures. |
C | smoking a pipe. |
D | smoking cigarettes. |
Question 14 |
The client is receiving positive end-expiratory pressure (PEEP) therapy. The nurse anticipates that the client will exhibit which of the following?
A | Bradycardia |
B | Tachycardia |
C | Increased blood pressure |
D | Reduced cardiac output |
Question 15 |
The nurse is aware that which diagnosis is most likely to contribute to the development of acute respiratory distress syndrome (ARDS)?
A | Appendicitis |
B | Massive trauma |
C | Receiving conscious sedation |
D | Right meniscus injury |
Question 16 |
The nurse reviews the assessment of a client with acute respiratory distress syndrome (ARDS). What is the best indicator of improvement in the client?
A | Arterial blood gas (ABG) values |
B | Bronchoscopy results |
C | Increased blood pressure |
D | Sputum culture and sensitivity results |
Question 17 |
A client has been placed on a high level of oxygen. The nurse anticipates that this will cause the client’s lungs to do what?
A | Improve oxygen uptake |
B | Increase carbon dioxide levels |
C | Stabilize carbon dioxide levels |
D | Reduce the amount of functional alveolar surface area |
Question 18 |
A client has been diagnosed with thoracic kyphoscoliosis. The nurse is aware that this will have what effect on the client’s lungs?
A | Improve overall expansion |
B | Obstruct deflation |
C | Reduce alveolar compression during expiration |
D | Restrict expansion |
Question 19 |
A client with shortness of breath has decreased-to-absent breath sounds on the right side, from the apex to the base. The nurse interprets this assessment data as indicating which condition?
A | Acute asthma |
B | Chronic bronchitis |
C | Pneumonia |
D | Spontaneous pneumothorax |
Question 20 |
A nurse reinforces the teaching plan for a client who has recently been diagnosed with squamous cell carcinoma of the left lung. The most appropriate information for the nurse to give the client would be?
A | “You have a slow-growing cancer that rarely spreads.” |
B | “In terms of prognosis, you may have only a few months to live.” |
C | “Squamous cell cancer is a very rapid-growing cancer.” |
D | “The cancer has generally metastasized by the time diagnosis is made.” |
Question 21 |
The nurse anticipates that the priority treatment for a client with spontaneous pneumothorax is:
A | antibiotics. |
B | bronchodilators. |
C | chest tube placement. |
D | hyperbaric chamber. |
Question 22 |
After a motor vehicle collision, a client has a chest tube inserted in the left upper chest. The tube begins to drain a large amount of dark red fluid. The nurse determines that:
A | the chest tube was inserted improperly. |
B | this is an expected result. |
C | an artery was nicked when the chest tube was placed. |
D | the client is experiencing a hemothorax. |
Question 23 |
A hospitalized client has a central I.V. catheter inserted in the subclavian vein. Shortly after placement, the client develops shortness of breath and appears restless. The priority action by the nurse would be?
A | Administer a sedative. |
B | Advise the client to calm down. |
C | Auscultate for breath sounds. |
D | Check to see if the client can have medication. |
Question 24 |
The nurse is caring for a client who recently had a central venous catheter inserted and now appears short of breath and anxious. The nurse anticipates that the physician will order a:
A | chest X-ray. |
B | electrocardiogram. |
C | laboratory tests. |
D | sedation. |
Question 25 |
The nurse is preparing a client to have a chest tube inserted in the right upper chest. What is the priority role of the nurse?
A | The nurse isn’t needed. |
B | Preparing the chest tube drainage system |
C | Bringing the chest X-ray to the client’s room |
D | Inserting the chest tube |
Question 26 |
The nurse is auscultating the lungs of a client following chest tube insertion. What assessment finding would indicate to the nurse correct chest tube placement?
A | Bronchial sounds heard at both bases |
B | Vesicular sounds heard over upper lung fields |
C | Bronchovesicular sounds heard over both lung fields |
D | Crackles heard on the affected side |
Question 27 |
The nurse is caring for a client who had a chest tube inserted for treatment of a pneumothorax. Which assessment finding best indicates to the nurse that a chest tube is no longer needed?
A | The drainage from the chest tube is minimal. |
B | Arterial blood gas (ABG) levels are obtained to ensure proper oxygenation. |
C | It’s removed and the client is assessed to see if he’s breathing adequately. |
D | No fluctuation in the water seal chamber occurs when no suction is applied. |
Question 28 |
A client is scheduled to have a chest tube removed. What is the most important intervention for the nurse to perform prior to the removal?
A | Disconnect the drainage system from the tube. |
B | Obtain a chest X-ray to document reexpansion. |
C | Obtain an arterial blood gas level to document oxygen status. |
D | Sedate the client, and the physician will slip the tube out without warning the client. |
Question 29 |
A 24-year-old client comes into the clinic complaining of sudden-onset, right-sided chest pain and shortness of breath. The nurse is assessing the client and determines that the most important intervention to implement is:
A | auscultation of breath sounds. |
B | chest X-ray. |
C | echocardiogram. |
D | electrocardiogram (ECG). |
Question 30 |
A 60-year-old client was in a motor vehicle accident. He is brought to the emergency department by the paramedics. During the assessment, the client complains of difficulty breathing and chest pain. Auscultation of lung fields notes absent breath sounds in the left upper lobe. The nurse interprets this information as indicating which condition?
A | Bronchitis |
B | Pneumonia |
C | Pneumothorax |
D | Tuberculosis (TB) |
Once you are finished, click the button below. Any items you have not completed will be marked incorrect.
Get Results
There are 30 questions to complete.
You have completed
questions
question
Your score is
Correct
Wrong
Partial-Credit
You have not finished your quiz. If you leave this page, your progress will be lost.
Correct Answer
You Selected
Not Attempted
Final Score on Quiz
Attempted Questions Correct
Attempted Questions Wrong
Questions Not Attempted
Total Questions on Quiz
Question Details
Results
Date
Score
Hint
Time allowed
minutes
seconds
Time used
Answer Choice(s) Selected
Question Text
All done
Need more practice!
Keep trying!
Not bad!
Good work!
Perfect!
related categories
Related posts
- Nclex-Rn Practice Questions-Care Of The Adult – Respiratory Disorders Part 4
- Nclex-Rn Practice Questions-Care Of The Adult – Neurosensory Disorders Part 3
- Nclex-Rn Practice Questions-Care Of The Adult – Gastrointestinal Disorders Part 3
- Nclex-Rn Practice Questions-Care Of Adult – Endocrine Disorders Part 3
- Nclex-Rn Practice Questions-Care Of The Adult -Cardiovascular Disorders Part 4
- Nclex-Rn Practice Questions-Care Of The Adult -Cardiovascular Disorders Part 3
- Nclex-Rn Practice Questions-Care Of The Adult – Respiratory Disorders Part 2
- Nclex-Rn Practice Questions-Care Of The Adult – Respiratory Disorders Part 1
- Nclex-Rn Practice Questions-Care Of The Adult – Hematologic & İmmune Disorders Part 1
- Nclex-Rn Practice Questions-Care of Adults-Adult and Older Adult Development