Gas Exchange NCLEX practice questions

Gas Exchange NCLEX practice questions 3.0 (1 review) Students also studied Terms in this set (123) Owens Community College NUR 101 Save Gas Exchange NCLEX 39 terms tna_2012Preview Fluid and Electrolytes NCLEX Quest...33 terms Alex_Hassiepen Preview NURS 211 - NCLEX Style Questions (...72 terms ruckelsPreview ATI- Ga 25 terms Mo After teaching a client who is prescribed salmeterol, the nurse assesses the client's understanding. Which statement by the client indicates a need for additional teaching?

• "I will be certain to shake the inhaler well before I use

it."

• "It may take a while before I notice a change in my

asthma."

• "I will use the drug when I have an asthma attack."
• "I will be careful not to let the drug escape out of my

nose and mouth."

• "I will use the drug when I have an asthma attack."

A patient is admitted to the emergency department with a severe exacerbation of asthma. Which finding is of most concern to the nurse?

• Unable to speak and sweating profusely
• PaO2 of 80 mm Hg and PaCO2 of 50 mm Hg
• Presence of inspiratory and expiratory wheezing
• Peak expiratory flow rate at 60% of personal best
• Unable to speak and sweating profusely

Later signs of COPD include all of the following, EXCEPT:

• pursed lip breathing.
• use of accessory muscles.
• shortened expiration.
• fingernail clubbing.

C.Shortened expiration

A patient is prescribed two different types of inhaled medications for treatment of COPD. After administering the first medication, how long should the nurse wait to administer the second medication?

• 1 minute
• 5 minutes
• 10 minutes
• 15 minutes
• 5 minutes

The nurse is providing teaching to a group of individuals with COPD at a community center. Which statement by one of the attendees indicates that further teaching is needed?

• "If I develop a puffy face, I will stop taking

methylprednisolone (Medrol) immediately."

• "I will inform my prescriber of any weight gain of 2 lb

or more in 24 hours or 5 lb or more in 1 week."

• "I use omalizumab to control my asthma but not for an

acute asthma attack."

• "When taking theophylline , I will advise my prescriber

if I experience epigastric pain."

• "If I develop a puffy face, I will stop taking methylprednisolone (Medrol)

immediately." One of the attendees of health class expresses concern regarding her granddaughter's asthma. The attendee tells the nurse that she is afraid that she will not know which of her granddaughter's medications to give first in case of an asthma attack. Which medication should the nurse inform the attendee to administer first for an acute asthma attack?

• ipratropium
• albuterol
• budesonide
• montelukast
• albuterol

A patient's ABG results include pH 7.31, Paco2 50 mm Hg, Pao2 51 mm Hg, and HCO3 24 mEq/L. Oxygen is administered at 2 L/min, and the patient is placed in high- Fowler's position. An hour later, the ABGs are repeated with results of pH 7.36, Paco2 40 mm Hg, Pao2 60 mm Hg, and HCO3 24 mEq/L. What is most important for the nurse to do?

• Increase the oxygen flow rate to 4 L/min.
• Document the findings in the patient's record.
• Reposition the patient in a semi-Fowler's position.
• Prepare the patient for endotracheal intubation and

mechanical ventilation.fake guess-A. Increase the oxygen flow rate to 4 L/min.

A patient with severe chronic lung disease is hospitalized with respiratory distress. Which finding would suggest to the nurse that the patient has developed rapid decompensation?

• An Spo2 of 86%
• A blood pH of 7.33
• Agitation or confusion
• Paco2 increases from 48 to 55 mm Hg

fake guess-A. An Spo2 of 86% Which patient is at highest risk for hypoxemic respiratory failure?

• A patient who has respiratory muscle paralysis
• A patient who has fractured ribs and a flail chest
• A patient who has a massive pulmonary embolism
• A patient who has slow breathing from a drug

overdose fake guess-A. A patient who has respiratory muscle paralysis The nurse would interpret an induration of 5 mm resulting from tuberculin skin testing as a positive finding in which patient?

• A patient with a history of illegal IV drug use
• A patient with diabetes and end-stage kidney disease
• A patient who immigrated from India 3 months ago
• A patient who is human immunodeficiency virus-

infected fake guess-A. A patient with a history of illegal IV drug use Which of the following interventions would be an appropriate nursing intervention when caring for a child with pneumonia?

• Encourage rest.
• Instruct the child to avoid lying on the affected side.
• Administer analgesics.
• Place the child in the Trendelenburg position.

fake guess-A. Encourage rest.What age-related changes make the older person at a higher risk for bronchitis or pneumonia?

• Cilia become less responsive
• Diminished cough reflex
• Diminished immune response
• All of the above

fake guess-A. Cilia become less responsive A patient is taking isoniazid for tuberculosis. The nurse anticipates supplementation with which vitamin for the prevention of drug-induced neuritis?

• Vitamin C (ascorbic acid)
• Vitamin B6 (pyroxidine)
• Vitamin K (AquaMEPHYTON)
• Vitamin E (d-alpha tocopherol)

fake guess-A. Vitamin C (ascorbic acid)

The therapeutic management of children with sickle cell disease consists primarily of which of the following?

• Oxygen therapy
• Prevention and treatment of pain
• Adequate hydration
• Frequent blood transfusions

fake guess-A. Oxygen therapy At an outpatient clinic, K.L.'s 78-year-old grandma is found to have a Hgb of 8.7 g/dL (87 g/L) and a Hct of 35%. Based on the most common cause of these findings in the older adult, the nurse collects information regarding

• a history of jaundice and black tarry stools.
• a 3-day diet recall of the foods the patient has eaten.
• any drugs that have depressed the function of the

bone marrow.

• a history of any chronic diseases such as cancer or

renal disease.Fake guess-A. a history of jaundice and black tarry stools.What is the priority nursing intervention in the care of an older patient with a history of diverticular disease and pernicious anemia?

• Preventing falls
• Monitoring intake and output
• Turning the patient every 2 hours
• Encouraging a diet high in vitamin B12
• Preventing falls

A 23-year-old African-American male with a history of sickle cell disease had an emergent open reduction and internal fixation of his right femur after a car crash. What is the initial postoperative nursing priority?

• Treating the patient's pain
• Ensuring adequate IV hydration
• Titrating oxygen to an Spo2 >95%
• Examining the surgical incision for signs and symptoms

of infection Fake guess-A. Treating the patient's pain The nurse is providing education about the use of vitamins and minerals at a community health center. One of the participants who is a vegetarian asks if he is at risk for any deficiencies. The nurse identifies which deficiency of which substance as the most common nutritional deficiency in vegetarians?

• Vitamin K
• Magnesium
• Vitamin B12
• Calcium

fake guess-A. Vitamin K