Oxygenation and Circulation NCLEX Questions

Oxygenation and Circulation NCLEX Questions ScienceMedicineNursing brenda-lucas Save NCLEX Practice Questions Exam 1 40 terms J_NavPreview NCLEX respiratory ABC renal questi...Teacher 180 terms rene_montano7 Preview HESI - Fundamentals practice questi...327 terms morganpruitt28 Preview Prioriti 108 term em The nurse is caring for a client with a tracheostomy. For what protective mechanism will the nurse monitor in the client?

• The ability to cough
• Filtration and humidification of inspired air
• The sneeze reflex initiated by irritants in the nasal passages
• Decrease in oxygen-carrying capacity of the trachea
• Filtration and humidification of inspired air

When planning care, for which client should the nurse include close observation for a decreased or absent cough reflex?

• The client with a nasal fracture
• The client with impairment of vagus nerve conduction
• The client with a sinus infection
• The client with reduction in respiratory membrane conduction
• The client with impairment of vagus nerve conduction

The client complains of difficulty breathing. Which assessment findings should the nurse associate with that complaint?

• Use of accessory muscles
• Increased respiratory depth
• Increased respiratory rate
• Decreased respiratory depth
• Decreased respiratory rate
• Use of accessory muscles
• Increased respiratory depth
• Increased respiratory rate
• Decreased respiratory depth

The client has been admitted with complaints of shortness of breath of 2 weeks duration and has received the nursing diagnosis Impaired Gas Exchange. Which admission laboratory result would support the choice of this diagnosis?

• Increased hematocrit
• Decreased BUN
• Increased blood sugar
• Increased sedimentation rate
• Increased hematocrit

A client diagnosed with chronic obstructive lung disease who is receiving oxygen at 1.5 liters per minute via nasal cannula is complaining of shortness of breath. What action should the nurse take?

• Increase the oxygen to 3 liters per minute via nasal cannula.
• Lower the head of the clients bed to the semi-Fowlers position.
• Have the client breathe through pursed lips.
• Encourage the client to breathe more rapidly.
• Have the client breathe through pursed lips.

After learning of a terminal illness and life expectancy, the client begins to hyperventilate and complains of being light-headed with the fingers, toes, and mouth tingling. What action should be taken by the nurse?

• Prepare to resuscitate the client.
• Have the client concentrate on slowing down respirations.
• Place the client in Trendelenburgs position and ask him to cough forcefully.
• Administer 25 mg of meperidine (Demerol) according to the prn pain order.
• Have the client concentrate on slowing down respirations.

The client is experiencing severe shortness of breath, but is not cyanotic. What laboratory value should the nurse review in an attempt to understand this phenomenon?

• Blood sugar
• Hemoglobin and hematocrit
• Cardiac enzymes
• Serum electrolytes
• Hemoglobin and hematocrit

A client has a medical condition that often results in the development of metabolic acidosis. The nurse should observe this client for the development of which breathing pattern as a result of this condition?

• Cheyne-Stokes
• Biots
• Cluster
• Kussmauls
• Kussmauls

Upon assessment, the nurse notes that a client has dyspnea, crackles in both lung bases, and tires easily upon exertion. Which nursing diagnosis is best supported by these assessment details?

• Ineffective Breathing Pattern
• Anxiety
• Ineffective Airway Clearance
• Impaired Gas Exchange
• Ineffective Airway Clearance

The nurse encourages the client to expectorate sputum rather than swallowing it. What is the rationale for this direction?

• Sputum contains bacteria that should be expectorated.
• Swallowing sputum is dangerous to the system.
• The nurse should view the sputum for quality and quantity.
• The client is likely to aspirate the sputum while attempting to swallow it.
• The nurse should view the sputum for quality and quantity.

The nurse is planning a time schedule for a clients twice-daily postural drainage. Which time schedule would be best?

• 0800 and 1100
• 1200 and 1800
• 0700 and 2000
• 0900 and 2100
• 0700 and 2000

A client is receiving oxygen by nonrebreather mask, but the bag is deflating on inspiration. What action should be taken by the nurse?

• Turn the client to the left side.
• Increase the percentage of oxygen being delivered.
• Check for an airtight seal between the clients face and the mask.
• Increase the liter flow of oxygen being delivered.
• Increase the liter flow of oxygen being delivered.

The nurse has placed an oropharyngeal airway in a client. What action should the nurse take at this time?

• Tape the airway in place.
• Suction the client.
• Turn the clients head to the side.
• Insert a nasal trumpet.
• Turn the clients head to the side.

A client has a newly created tracheostomy for mechanical ventilation after a surgical procedure. What action should the nurse plan for this client?

• Deflate the cuff of the tracheostomy tube every 2 hours for 5 minutes.
• Remove the tracheostomy ties and replace them with an elastic bandage.
• Remove the tracheostomy inner cannula.
• Tape the tracheostomy obturator to the head of the bed.
• Tape the tracheostomy obturator to the head of the bed.

The nurse needs to hyperinflate a client prior to suctioning. How should the nurse proceed with this requirement?

• Turn the suction level up to 60 cm prior to inserting the catheter.
• Increase the oxygen flow to the client by 20% prior to suctioning.
• Provide 2 to 3 breaths at 1.5 times the tidal volume prior to suction.
• Instruct the client to cough forcefully from the abdomen prior to suction.
• Provide 2 to 3 breaths at 1.5 times the tidal volume prior to suction.

The nurse who is assessing a clients chest tube insertion site notices a fine crackling sound and feeling upon palpating the area. What action should the nurse take?

• Discontinue the chest tube suction.
• Collaborate with the clients physician.
• Mark the area involved and remove the tube.
• Reinforce the chest tube dressing.
• Collaborate with the clients physician.

The nurse is preparing to assist with the removal of a chest tube that is a simple insertion without a purse-string suture. What materials should the nurse gather for this procedure?

• An occlusive dressing
• A 4 4 gauze
• An adhesive gauze pad dressing
• A non-adherent gauze dressing
• An occlusive dressing

The nurse has completed discharge teaching for a client who will be going home on oxygen therapy. What statement made by the client would indicate that this client needs further instruction?

• I will replace my cotton blankets with polyester ones.
• My son will not be able to smoke when I am around.
• I will have my electrical appliance checked for grounding.
• I will buy a fire extinguisher for my bedroom.
• I will replace my cotton blankets with polyester ones.

A client with a nasotracheal tube in place has been restless and pulling at the tube. How should the nurse assess if the tube is still in place?

• Count the clients respirations.
• Assess the depth of the clients respirations.
• Auscultate for bilateral breath sounds.
• Deflate the cuff and listen for minimal leak.
• Auscultate for bilateral breath sounds.

The nurse has just initiated oxygen by nasal cannula for a client with the medical diagnosis of chronic obstructive pulmonary disease. What is the nurses next action?

• Fill the humidifier with normal saline.
• Pad the tubing where it contacts the clients ears.
• Set the oxygen delivery to 5 liters.
• Secure the cannula with ties around the clients head.
• Pad the tubing where it contacts the clients ears.