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eGalen College of Nursing NCLEX Review Quarter 2- Quiz 3 Respiratory 1.A nurse is providing instructions to a hospitalized client with a diagnosis of emphysema about positions that will enhance the effects of breathing during dyspneic periods. Which position will the nurse instruct the client to assume?A.Sitting up in bed.B.Side-lying in bed C.Sitting in a recliner chair D.Sitting on the side of the bed, leaning on an overbed table 2.A nurse is gathering data on a client with a diagnosis of tuberculosis (TB). The nurse reviews the results of which diagnostic test that will confirm this diagnosis?A.Chest X- ray B.Bronchoscopy C.Sputum culture D.Tuberculin skin test 3.Which of the following identifies the route of transmission of TB?A.Hand to mouth B.The enteric route C.The airborne route D.Body and body fluids 4.A nurse is caring for a client with emphysema who is receiving oxygen. The nurse checks the oxygen flow rate to ensure that it does not exceed A.1 L/minute B.2 L/minute C.6 L/minute D.10 L/minute 5.A nurse is instructing a client about pursed lip breathing and the client asks the nurse about its purpose.The nurse tells the client that the primary purpose of pursed lip breathing is to A.Promote oxygen intake B.Strengthen the diaphragm C.Strengthen the intercostal muscles D.Promote carbon dioxide elimination 6.The nurse is assigned to care for a client following a left pneumonectomy. The nurse would avoid positioning the client A.On the side B.In a low Fowler’s position This study source was downloaded by 100000827141222 from CourseHero.com on 08-04-2021 15:16:39 GMT -05:00
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C.In a semi-Fowler’s position D.With the head of the bed elevated at 40 degrees 7.A nurse is caring for a client following pulmonary angiography via catheter insertion into the left groin. The nurse monitors for an allergic reaction to the contrast medium by noting the presence of A.Hypothermia B.Respiratory distress C.Hematoma on the left groin D.Discomfort in the left groin 8.A nurse working on a respiratory nursing unit is caring for several clients with respiratory disorders.The nurse would identify which of the following clients as being at the least risk for developing an infection with tuberculosis (TB)?A.An uninsured man who is homeless B.A woman newly immigrated from Korea C.A man who is an inspector for the US Postal Service D.An older woman from a long-term care facility 9.A nurse is reading the results of a Mantoux skin test on a client with no documented health problems. The site has no induration and a 1 mm area of ecchymosis. The nurse interprets the result is A.Positive B.Negative C.Uncertain D.Borderline 10.A client being discharged from the hospital to home with a diagnosis of tuberculosis (TB) is worried about the possibility of infecting the family and others. The nurse determines that the client would get the most reassurance from the knowledge that A.The family does not need therapy, and the client will not be contagious after 1 month of medication therapy B.The family does not need therapy, and the client will not be contagious after 6 consecutive weeks of medication therapy C.The family will receive prophylactic therapy, and the client will not be contagious after one week of continuous therapy D.The family will be treated prophylactally and the client will not be contagious after 2 to 3 weeks of continuous therapy 11.A nurse has reinforced discharge teaching with a client who was diagnosed with tuberculosis (TB) and has been on medication for 1.5 weeks. The nurse determines that the client has understood the information if the client makes which statement?A.“I can’t shop at the mall for the next 6 months.” B.“I need to continue medication therapy for 2 months.” C.“I can return to work if a sputum culture comes back negative.” D.“I should not be contagious after 2 to 3 weeks of medication therapy.” This study source was downloaded by 100000827141222 from CourseHero.com on 08-04-2021 15:16:39 GMT -05:00
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12.A client with tuberculosis (TB) asks a nurse about precautions to take after discharge from the hospital to prevent infection to others. The nurse develops a response to the client’s question based on the understanding that A.The disease is transmitted by droplet nuclei B.The client should maintain enteric precautions only C.Deep pile carpet should be removed from the home D.Clothing and sheets should be bleached after each use 13.The nurse is preparing to give a bed bath to an immobilized client with tuberculosis (TB). The nurse should plan to wear which of the following items when performing this care?A.Surgical mask and gloves B.Particulate respirator, gown and gloves C.Particulate respirator and protective eyewear D.Surgical mask, gown, and protective eyewear 14.A client with tuberculosis (TB), whose status is being monitored in an ambulatory care clinic, asks the nurse when it is permissible to return to work. The nurse replies that the client may resume employment when A.Five sputum cultures are negative B.Three sputum cultures are negative C.A sputum culture and chest x-ray are negative D.A sputum and Mantoux test are negative 15.A client with acquired immunodeficiency syndrome (AIDS) has histoplasmosis. A nurse checks for which of the symptoms?A.Dyspnea B.Headache C.Weight gain D.Hypothermia 16.A nurse is taking the history of a client with silicosis. The nurse checks whether the client wears which of the following items during periods of exposure to silica particles?A.Mask B.Gown C.Gloves D.Eye protection 17.A nurse is caring for a client with an endotracheal tube attached to a ventilator. The high-pressure alarm sounds on the ventilator. The nurse prepares to perform which nursing intervention?A.Suction the client B.Check for a disconnection C.Notify the respiratory therapist D.Evaluate the tube cuff for a leak This study source was downloaded by 100000827141222 from CourseHero.com on 08-04-2021 15:16:39 GMT -05:00
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18.A nurse is preparing to obtain a sputum specimen from the client. Which nursing action will facilitate obtaining the specimen?A.Limiting fluids B.Having the client take three deep breaths C.Asking the client to obtain the specimen after eating D.Asking the client to spit into the collection container 19.An emergency room nurse is caring for a client who sustained a blunt injury to the chest wall. Which sign, if noted in the client, would indicate the presence of a pneumothorax?A.Bradypnea B.Shortness of breath C.Low respiratory rate D.The presence of a barrel chest 20.A nurse caring for a client hospitalized with an acute exacerbation of chronic obstructive pulmonary disease (COPD). Which of the following would the nurse expect to note in evaluation this client?A.Hypocapnea B.A hyperinflated chest on x-ray C.Increased oxygen saturation with exercise D.A widened diaphragm noted on x-ray Reference Silvestri, L. A. (2010). Saunders comprehensive review for the NCLEX-PN examination (4th ed.). St. Louis, MO: Saunders. This study source was downloaded by 100000827141222 from CourseHero.com on 08-04-2021 15:16:39 GMT -05:00
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