NCLEX Review - Week 02_Respiratory

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Let's see what you know about the respiratory system

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Mrs. Ramos

United States

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2	Mrs. Ramos May 21, 2025	% 100	04:03
3	Genevie Garcia June 9, 2025	% 95	02:05
4	Mea June 9, 2025	% 95	03:50
5	Jennifer June 9, 2025	% 90	07:35

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NCLEX Review - Week 02_Respiratory


Froggy Jumps NCLEX Review - Week 02_RespiratoryOnline version Let's see what you know about the respiratory system by Mrs. Ramos 1 A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen at 4 L/min via nasal cannula. Which assessment finding requires immediate action? a Respiratory rate of 8 breaths per minute b Oxygen saturation of 92% c Oxygen saturation of 92% 2 A nurse is caring for a client with pneumonia who is receiving IV antibiotics. Which assessment finding indicates the treatment is effective? a Decreased temperature and respiratory rate b Decreased cough reflex c Increased white blood cell count 3 A client with asthma reports chest tightness and wheezing. Which medication should the nurse administer first? a Fluticasone b Salmeterol c Albuterol 4 Which of the following findings in a client with a chest tube requires immediate intervention? a Serosanguinous drainage in the collection chamber b Continuous bubbling in the water seal chamber c Fluctuation (tidaling) in the water seal chamber 5 A nurse is teaching a client with emphysema about pursed-lip breathing. Which statement indicates understanding? a "It helps prevent air trapping during exhalation." b "I will do this only when I'm short of breath." c "I will inhale through my mouth and exhale through my nose." 6 A client with tuberculosis is placed on airborne precautions. Which nursing intervention is appropriate? a Wear a surgical mask when entering the room b Provide a high-protein, high-calorie diet c Place the client in a private room with positive airflow 7 A postoperative client is at risk for atelectasis. Which intervention is most appropriate? a Encourage use of incentive spirometer every hour b Administer antitussives c Limit ambulation 8 Which finding indicates early hypoxia? a Cyanosis b Decreased respiratory rate c Confusion and restlessness 9 The nurse assesses a client with a tracheostomy and notes the cuff pressure is 30 mmHg. What is the nurse’s best action? a Increase the pressure to prevent aspiration b Notify the healthcare provider c Deflate the cuff immediately 10 A client with pulmonary embolism is started on enoxaparin. Which lab test should the nurse monitor? a INR b Platelet count c aPTT 11 A nurse is auscultating lung sounds and hears high-pitched, musical sounds during expiration. How should the nurse document this finding? a Crackles b Rhonchi c Wheezes 12 A client is diagnosed with pleural effusion. Which of the following symptoms is most likely? a Sharp chest pain that worsens with inspiration b Barrel-shaped chest c Night sweats and fever 13 Which client should the nurse assess first? a A client with COPD who has a PaCO₂ of 55 mmHg b A client with asthma who has a peak flow reading in the green zone c A client with pneumonia who is confused and restless 14 The nurse is suctioning a client via a tracheostomy. Which action is correct? a Preoxygenate the client before suctioning b Apply suction while inserting the catheter c Suction twice in quick succession without rest 15 A client is prescribed theophylline. Which finding should be reported to the provider? a Productive cough b Nausea and restlessness c Oxygen saturation of 94% 16 A client with cystic fibrosis is receiving pancreatic enzymes. What is the expected outcome? a Decreased cough frequency b Reduced respiratory secretions c Enhanced nutrient absorption 17 A nurse is teaching about the use of a metered-dose inhaler (MDI). Which instruction is correct? a “Do not shake the inhaler before use.” b “Hold your breath for 10 seconds after inhaling.” c “Use the inhaler only when symptoms occur.” 18 Which laboratory value should be monitored when a client is receiving isoniazid (INH)? a Serum potassium b BUN and creatinine c Liver function tests 19 A nurse is evaluating arterial blood gas (ABG) results: pH 7.30, PaCO₂ 55 mmHg, HCO₃ 24 mEq/L. How should this be interpreted? a Metabolic acidosis b Respiratory acidosis c Respiratory alkalosis 20 A client with COPD is prescribed tiotropium. Which statement by the client indicates a need for further teaching? a “I will use this medication for quick relief.” b “This medication helps prevent bronchospasms.” c “I will use this medication every day.”

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NCLEX Review - Week 02_Respiratory

Froggy Jumps

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NCLEX Review - Week 02_RespiratoryOnline version

by Mrs. Ramos

A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen at 4 L/min via nasal cannula. Which assessment finding requires immediate action?

A nurse is caring for a client with pneumonia who is receiving IV antibiotics. Which assessment finding indicates the treatment is effective?

A client with asthma reports chest tightness and wheezing. Which medication should the nurse administer first?

Which of the following findings in a client with a chest tube requires immediate intervention?

A nurse is teaching a client with emphysema about pursed-lip breathing. Which statement indicates understanding?

A client with tuberculosis is placed on airborne precautions. Which nursing intervention is appropriate?

A postoperative client is at risk for atelectasis. Which intervention is most appropriate?

Which finding indicates early hypoxia?

The nurse assesses a client with a tracheostomy and notes the cuff pressure is 30 mmHg. What is the nurse’s best action?

A client with pulmonary embolism is started on enoxaparin. Which lab test should the nurse monitor?

A nurse is auscultating lung sounds and hears high-pitched, musical sounds during expiration. How should the nurse document this finding?

A client is diagnosed with pleural effusion. Which of the following symptoms is most likely?

Which client should the nurse assess first?

The nurse is suctioning a client via a tracheostomy. Which action is correct?

A client is prescribed theophylline. Which finding should be reported to the provider?

A client with cystic fibrosis is receiving pancreatic enzymes. What is the expected outcome?

A nurse is teaching about the use of a metered-dose inhaler (MDI). Which instruction is correct?

Which laboratory value should be monitored when a client is receiving isoniazid (INH)?

A nurse is evaluating arterial blood gas (ABG) results: pH 7.30, PaCO₂ 55 mmHg, HCO₃ 24 mEq/L. How should this be interpreted?

A client with COPD is prescribed tiotropium. Which statement by the client indicates a need for further teaching?