Airway-Obstruction NCLEX Questions

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    1. An elderly client with pneumonia may appear with which of the following symptoms first?A. Altered mental status and dehydrationB. fever and chillsC. Hemoptysis and dyspneaD. Pleuretic chest pain and cough

    2. Which of the following pathophysiological mechanisms that occurs in the lung parenchyma allows

    pneumonia to develop?

    1. Atelectasis2. Bronchiectasis3. Effusion4. Inflammation

    3. A 7-year-old client is brought to the E.R. Hes tachypneic and afebrile and has a respiratory rate of 36

    breaths/minute and a nonproductive cough. He recently had a cold. From his history, the client may have

    which of the following?

    1. Acute asthma2. Bronchial pneumonia3. Chronic obstructive pulmonary disease (COPD)4. Emphysema

    4. Which of the following assessment findings would help confirm a diagnosis of asthma in a client

    suspected of having the disorder?

    1.

    Circumoral cyanosis2. Increased forced expiratory volume3. Inspiratory and expiratory wheezing4. Normal breath sounds

    5. Which of the following types of asthma involves an acute asthma attack brought on by an upper

    respiratory infection?

    1. Emotional2. Extrinsic3. Intrinsic4. Mediated6. A client with acute asthma showing inspiratory and expiratory wheezes and a decreased expiratory

    volume should be treated with which of the following classes of medication right away?

    1. Beta-adrenergic blockers2. Bronchodilators3. Inhaled steroids

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    4. Oral steroids

    7. A 19-year-old comes into the emergency department with acute asthma. His respiratory rate is 44

    breaths/minute, and he appears to be in acute respiratory distress. Which of the following actions should

    be taken first?

    1. Take a full medication history2. Give a bronchodilator by neubulizer3. Apply a cardiac monitor to the client4. Provide emotional support to the client.

    8. A 58-year-old client with a 40-year history of smoking one to two packs of cigarettes a day has a

    chronic cough producing thick sputum, peripheral edema, and cyanotic nail beds. Based on this

    information, he most likely has which of the following conditions?

    1. Adult respiratory distress syndrome (ARDS)2. Asthma3. Chronic obstructive bronchitis4. Emphysema

    9. The term blue bloater refers to which of the following conditions?

    1. Adult respiratory distress syndrome (ARDS)2. Asthma3. Chronic obstructive bronchitis4. Emphysema

    10. The term pink puffer refers to the client with which of the following conditions?

    1. ARDS2. Asthma3. Chronic obstructive bronchitis4. Emphysema

    11. A 66-year-old client has marked dyspnea at rest, is thin, and uses accessory muscles to breathe. Hes

    tachypneic, with a prolonged expiratory phase. He has no cough. He leans forward with his arms braced

    on his knees to support his chest and shoulders for breathing. This client has symptoms of which of thefollowing respiratory disorders?

    1. ARDS2. Asthma3. Chronic obstructive bronchitis4. Emphysema

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    12. Its highly recommended that clients with asthma, chronic bronchitis, and emphysema have

    Pneumovax and flu vaccinations for which of the following reasons?

    1. All clients are recommended to have these vaccines2. These vaccines produce bronchodilation and improve oxygenation.3. These vaccines help reduce the tachypnea these clients experience.4. Respiratory infections can cause severe hypoxia and possibly death in these clients.

    13. Exercise has which of the following effects on clients with asthma, chronic bronchitis, and

    emphysema?

    1. It enhances cardiovascular fitness.2. It improves respiratory muscle strength.3. It reduces the number of acute attacks.4. It worsens respiratory function and is discouraged.

    14. Clients with chronic obstructive bronchitis are given diuretic therapy. Which of the following reasons

    best explains why?

    1. Reducing fluid volume reduces oxygen demand.2. Reducing fluid volume improves clients mobility.3. Restricting fluid volume reduces sputum production.4. Reducing fluid volume improves respiratory function.

    15. A 69-year-old client appears thin and cachectic. Hes short of breath at rest and his dyspnea increases

    with the slightest exertion. His breath sounds are diminished even with deep inspiration. These signs and

    symptoms fit which of the following conditions?

    1. ARDS2. Asthma3. Chronic obstructive bronchitis4. Emphysema

    16. A client with emphysema should receive only 1 to 3 L/minute of oxygen, if needed, or he may lose

    his hypoxic drive. Which of the following statements is correct about hypoxic drive?

    1. The client doesnt notice he needs to breathe.2.

    The client breathes only when his oxygen levels climb above a certain point.

    3. The client breathes only when his oxygen levels dip below a certain point.4. The client breathes only when his carbon dioxide level dips below a certain point.

    17. Teaching for a client with chronic obstructive pulmonary disease (COPD) should include which of

    the following topics?

    1. How to have his wife learn to listen to his lungs with a stethoscope from Wal-Mart.

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    2. How to increase his oxygen therapy.3. How to treat respiratory infections without going to the physician.4. How to recognize the signs of an impending respiratory infection.

    18. Which of the following respiratory disorders is most common in the first 24 to 48 hours after

    surgery?

    1. Atelectasis2. Bronchitis3. Pneumonia4. Pneumothorax

    19. Which of the following measures can reduce or prevent the incidence of atelectasis in a post-

    operative client?

    1. Chest physiotherapy2. Mechanical ventilation3. Reducing oxygen requirements4. Use of an incentive spirometer

    20. Emergency treatment of a client in status asthmaticus includes which of the following medications?

    1. Inhaled beta-adrenergic agents2. Inhaled corticosteroids3. I.V. beta-adrenergic agents4. Oral corticosteroids

    21. Which of the following treatment goals is best for the client with status asthmaticus?

    1. Avoiding intubation2. Determining the cause of the attack3. Improving exercise tolerance4. Reducing secretions

    22. Dani was given dilaudid for pain. Shes sleeping and her respiratory rate is 4 breaths/minute. If action

    isnt taken quickly, she might have which of the following reactions?

    1. Asthma attack2. Respiratory arrest3. Be pissed about receiving Narcan4. Wake up on her own

    23. Which of the following additional assessment data should immediately be gathered to determine the

    status of a client with a respiratory rate of 4 breaths/minute?

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    1. Arterial blood gas (ABG) and breath sounds2. Level of consciousness and a pulse oximetry value.3. Breath sounds and reflexes4. Pulse oximetry value and heart sounds

    24. A client is in danger of respiratory arrest following the administration of a narcotic analgesic. Anarterial blood gas value is obtained. The nurse would expect to PaCO2 to be which of the following values?

    1. 15 mm Hg2. 30 mm Hg3. 40 mm Hg4. 80 mm Hg

    25. A client has started a new drug for hypertension. Thirty minutes after he takes the drug, he develops

    chest tightness and becomes short of breath and tachypneic. He has a decreased level of consciousness.

    These signs indicate which of the following conditions?

    1. Asthma attack2. Pulmonary embolism3. respiratory failure4. Rheumatoid arthritis

    26. Emergency treatment for a client with impending anaphylaxis secondary to hypersensitivity to a drugshould include which of the following actions first?

    1. Administering oxygen2. Inserting an I.V. catheter3.

    Obtaining a complete blood count (CBC)4. Taking vital signs

    27. Following the initial care of a client with asthma and impending anaphylaxis from hypersensitivity to

    a drug, the nurse should take which of the following steps next?

    1. Administer beta-adrenergic blockers2. Administer bronchodilators3. Obtain serum electrolyte levels4. Have the client lie flat in the bed.

    28. A clients ABG results are as follows: pH: 7.16; PaCO2 80 mm Hg; PaO2 46 mm Hg; HCO3- 24 mEq/L;

    SaO2 81%. This ABG result represents which of the following conditions?

    1. Metabolic acidosis2. Metabolic alkalosis3. Respiratory acidosis4. Respiratory alkalosis

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    29. A nurse plans care for a client with chronic obstructive pulmonary disease, knowing that the client is

    most likely to experience what type of acid-base imbalance?

    1. Respiratory acidosis2. Respiratory alkalosis3. Metabolic acidosis4. Metabolic alkalosis

    30. A nurse is caring for a client who is on a mechanical ventilator. Blood gas results indicate a pH of

    7.50 and a PCO2 of 30 mm Hg. The nurse has determined that the client is experiencing respiratory

    alkalosis. Which laboratory value would most likely be noted in this condition?

    1. Sodium level of 145 mEq/L2. Potassium level of 3.0 mEq/L3. Magnesium level of 2.0 mg/L4. Phosphorus level of 4.0 mg/dl

    31. A nurse reviews the arterial blood gas results of a patient and notes the following: pH 7.45; PCO2 30

    mm Hg; and bicarbonate concentration of 22 mEq/L. The nurse analyzes these results as indicating:

    1. Metabolic acidosis, compensated.2. Metabolic alkalosis, uncompensated.3. Respiratory alkalosis, compensated.4. Respiratory acidosis, compensated