NCLEX Practice Exam for Respiratory System 3

Practice Mode

Welcome to your NCLEX Practice Exam for Respiratory System 3! This exam is carefully curated to help you consolidate your knowledge and gain deeper understanding on the topic.

 

Exam Details

  • Number of Questions: 30 items
  • Mode: Practice Mode

Exam Instructions

  1. Practice Mode: This mode aims to facilitate effective learning and review.
  2. Instant Feedback: After each question, the correct answer along with an explanation will be revealed. This is to help you understand the reasoning behind the correct answer, helping to reinforce your learning.
  3. Time Limit: There is no time limit for this exam. Take your time to understand each question and the corresponding choices.

Remember, this exam is not just a test of your knowledge, but also an opportunity to enhance your understanding and skills. Enjoy the learning journey!

 

Click 'Start Exam' when you're ready to begin. Best of luck!

💡 Hint

Look for the ABG values that indicate a low pH and an elevated PaCO₂, reflecting impaired ventilation and carbon dioxide retention.

1 / 30

1. Nurse Bennett is monitoring a client with Guillain-Barré syndrome who has developed respiratory acidosis due to reduced alveolar ventilation. To confirm the diagnosis of respiratory acidosis, Nurse Bennett reviews the client’s arterial blood gas (ABG) results. Which combination of ABG values confirms respiratory acidosis?

💡 Hint

Consider the common pathological change in the lungs that occurs regardless of the specific cause or type of pneumonia.

2 / 30

2. Nurse Thompson is caring for Mr. Hayes, a 58-year-old male client admitted with pneumococcal pneumonia, while another client in the adjacent room is being treated for mycoplasmal pneumonia. During rounds, Nurse Thompson reflects on the similarities between these two types of pneumonia. Despite their differing causes, what feature do all types of pneumonia share?

💡 Hint

Focus on the technique that enhances the movement of sputum from the lungs to the mouth for an accurate sample.

3 / 30

3. Nurse Patel is preparing to collect a sputum specimen from Mr. Hayes, a 62-year-old male client with a suspected respiratory infection. To ensure an effective collection process, which action should Nurse Patel take to assist Mr. Hayes in providing the specimen?

💡 Hint

Identify the option that provides the highest oxygen concentration to quickly address severe hypoxemia.

4 / 30

4. Nurse Vega is attending to Mr. Ellis, a 68-year-old male client who suddenly sits up in bed, struggling to breathe, with an arterial oxygen saturation of 88%. Which oxygen delivery method should Nurse Vega select to most effectively improve Mr. Ellis’s condition?

💡 Hint

Consider the action that directly addresses a potential oxygenation issue indicated by the heart rate drop.

5 / 30

5. Nurse Riley is suctioning secretions from Ms. Carter, a 50-year-old female client with an endotracheal tube. While performing the procedure, Nurse Riley observes a decreasing heart rate on the monitor. What should Nurse Riley do next to address this change?

💡 Hint

Focus on the medication that directly targets bronchoconstriction and improves airflow in acute respiratory distress.

6 / 30

6. Nurse Collins is caring for a male client admitted to the emergency department at 11 p.m. with a respiratory rate of 44 breaths per minute, audible wheezing, and visible anxiety. Despite receiving oxygen via face mask and intravenous methylprednisolone, the client’s oxygen saturation remains low at 86%, and wheezing persists at 11:30 p.m. What medication should Nurse Collins plan to administer next to address the client’s worsening respiratory status?

💡 Hint

Focus on conditions that increase resistance to airflow within the ventilator circuit or airway.

7 / 30

7. Nurse Alvarez is caring for Mr. Carter, a 45-year-old male client with adult respiratory distress syndrome (ARDS) secondary to shock. His condition has worsened, requiring endotracheal (ET) intubation and mechanical ventilation. When the high-pressure alarm on the ventilator sounds, Nurse Alvarez begins troubleshooting to identify the cause. Which condition is most likely responsible for triggering the high-pressure alarm?

💡 Hint

Consider the therapeutic range of theophylline and whether the current level is too low, too high, or within range. Also, think about proper protocol when modifying medication dosages.

8 / 30

8. Nurse Brooks is managing care for Mr. Patel, a 175-lb (79.4 kg) male client receiving aminophylline (400 mg in 500 ml) at 50 ml/hour, with a theophylline level of 6 mcg/ml. The physician orders a new dose of 0.45 mg/kg/hour. How should Nurse Brooks respond to this instruction?

💡 Hint

When assessing a patient's ability to breathe through the upper airway, initial trials should be brief to prevent distress or complications.

9 / 30

9. Nurse Kelly is caring for Mrs. Lewis, a 62-year-old female client with a tracheostomy who no longer requires continuous mechanical ventilation. As part of the weaning process, Nurse Kelly plans to plug the tracheostomy tube opening temporarily. For how long should she initially plug the tube to assess the client’s tolerance?

💡 Hint

Consider the typical onset of action for oral codeine, which is known for its relatively quick absorption and effect on cough suppression.

10 / 30

10. Nurse Bennett is caring for Mr. Lewis, a 55-year-old male client who has been given an oral dose of codeine to manage his persistent cough. When Mr. Lewis asks how long it will take for the medication to take effect, what should Nurse Bennett tell him?

💡 Hint

Patients with COPD rely on a hypoxic drive to breathe—too much oxygen can suppress this drive, leading to respiratory failure.

11 / 30

11. Mr. Lawson, a patient with pneumonia, is receiving supplemental oxygen at 2 L/min via nasal cannula. His medical history includes COPD and coronary artery disease. Nurse Rachel carefully monitors his oxygen therapy, knowing that excessive oxygen administration in a patient with COPD can lead to which complication?

💡 Hint

Some post-procedure symptoms are expected, but others signal a life-threatening airway complication—focus on what could indicate a serious obstruction.

12 / 30

12. Nurse Kim is monitoring Mr. Torres, a 58-year-old client recovering from a bronchoscopy and biopsy. While assessing his condition, she watches for critical changes. Which observation, if noted in Mr. Torres, should Nurse Kim report to the physician immediately?

💡 Hint

Think about the typical percussion sound produced by air-filled lungs in a generally healthy respiratory system.

13 / 30

13. Nurse Torres is assessing Mrs. Lopez, a 45-year-old slightly obese female client with allergy-induced asthma, hypertension, and mitral valve prolapse, admitted for elective surgery. During a thorough exam, Nurse Torres percusses Mrs. Lopez’s chest wall, anticipating which sound from healthy lung tissue?

💡 Hint

Recall that the Mantoux test identifies exposure to tuberculosis but does not specify the stage or activity of the infection.

14 / 30

14. Nurse Miller is educating Mr. Patel, a 50-year-old male client, about the Mantoux test for tuberculosis. She explains how the test works and what the results indicate. Based on this information, which statement should Nurse Miller include in her teaching?

💡 Hint

The priority action involves confirming adequate ventilation and proper positioning of the ET tube to ensure oxygenation.

15 / 30

15. Nurse Roberts is caring for Mr. Hayes, a 58-year-old male client with an endotracheal (ET) tube in place. She knows that ensuring proper airway management is critical for his recovery. Which nursing action should Nurse Roberts prioritize to confirm the ET tube's correct placement and effectiveness?

💡 Hint

Streptomycin is an aminoglycoside antibiotic known for its potential impact on a specific sensory function; consider this when identifying the correct symptom.

16 / 30

16. Nurse Anderson is preparing a care plan for Sarah, a 42-year-old female client prescribed streptomycin for tuberculosis. Before starting the therapy, Nurse Anderson emphasizes the importance of monitoring for potential side effects. She instructs Sarah to immediately notify the physician if she experiences a specific health concern. Which symptom should prompt Sarah to contact her healthcare provider?

💡 Hint

In individuals with darker skin tones, cyanosis is more reliably detected in areas with less pigmentation and rich blood flow.

17 / 30

17. Nurse Allen is caring for a 35-year-old dark-skinned client with asthma who presents to the emergency department in acute respiratory distress. Given the client’s skin tone, Nurse Allen knows to assess for cyanosis in areas where it is most easily detected. Which area should she inspect to best identify signs of cyanosis?

💡 Hint

Consider the life-threatening effect that can occur if the analgesic affects the central nervous system, particularly the respiratory centers.

18 / 30

18. Nurse Martinez is caring for a male client who has undergone a thoracotomy and is receiving epidural analgesia for pain management. During her assessment, she monitors for potential complications of this intervention. Which finding would indicate the most serious complication associated with epidural analgesia?

💡 Hint

Think about how bronchodilators help patients with COPD—do they target inflammation, mucus, or airway constriction?

19 / 30

19. During a routine clinic visit, Ms. Thompson, a patient with COPD, asks Nurse Linda how anhydrous theophylline helps manage her condition. Which explanation best describes the drug’s mechanism of action?

💡 Hint

Consider how this technique specifically aids in keeping the airways open longer during exhalation for clients with obstructive lung diseases.

20 / 30

20. Nurse Carter is educating Mr. Thompson, a 72-year-old client with emphysema, on the technique of pursed-lip breathing to help manage his condition. When Mr. Thompson asks about the purpose of this breathing method, which explanation should Nurse Carter provide?

💡 Hint

Think about the duration that balances effective secretion removal with minimizing risks like hypoxia.

21 / 30

21. Nurse Evans is suctioning secretions from Mr. Lang, a 45-year-old male client with a tracheostomy tube, to maintain a clear airway. To ensure safety during the procedure, what is the maximum time Nurse Evans should apply suction?

💡 Hint

Consider the term that refers to the standard amount of air exchanged during calm, everyday breathing.

22 / 30

22. Nurse Adams is discussing respiratory function with Ms. Kim, a 35-year-old patient recovering from pneumonia, to help her understand her breathing patterns. Which term should Nurse Adams use to describe the amount of air moved in and out during a regular breath?

💡 Hint

Difficulty breathing often involves the recruitment of additional muscles to support respiration, which is not typically seen in normal or relaxed breathing patterns.

23 / 30

23. Nurse Bennett is assessing the respiratory status of Mr. Alvarez, a 60-year-old male client with a history of chronic obstructive pulmonary disease (COPD). During the assessment, she observes his breathing patterns for signs of respiratory distress. Which observation would indicate that the client is experiencing difficulty breathing?

💡 Hint

Constant bubbling in the water-seal chamber typically indicates an abnormal flow of air, which could stem from a specific issue within the system or its connections.

24 / 30

24. Nurse Thompson is monitoring a closed chest drainage system for Mr. Carter, a 45-year-old patient recovering from thoracic surgery. She observes constant bubbling in the water-seal chamber and considers its implications. What conclusion should Nurse Thompson draw from this observation?

💡 Hint

Focus on the method that enhances lung expansion and airflow efficiency for clients with chronic respiratory conditions.

25 / 30

25. Nurse Sullivan is educating Mr. Grant, a 60-year-old male client with chronic bronchitis, on breathing exercises to improve his respiratory function. Which technique should Nurse Sullivan emphasize in her teaching?

💡 Hint

Focus on the symptom that reflects impaired oxygen delivery due to a blockage in the pulmonary arteries.

26 / 30

26. Nurse Harper is evaluating Mr. Jensen, a 52-year-old male client suspected of having a pulmonary embolism. During her assessment, she looks for typical signs of this condition. Which finding should Nurse Harper recognize as a common clinical manifestation of pulmonary embolism?

💡 Hint

The drug of choice for Legionnaires’ disease targets intracellular bacteria and is highly effective against the causative pathogen, Legionella pneumophila.

27 / 30

27. Nurse Bennett is caring for Mr. Hayes, a 55-year-old male client admitted to the emergency department with complaints of sudden diarrhea, loss of appetite, fatigue, cough, headache, and recurrent chills. Based on his symptoms, the physician suspects Legionnaires’ disease and initiates antibiotic therapy while awaiting confirmatory test results. Which medication should Nurse Bennett anticipate administering as the first-line treatment for this condition?

💡 Hint

Focus on factors that directly increase the body's metabolic demands and strain respiratory function.

28 / 30

28. Nurse Anderson is caring for a client with chronic bronchitis and has identified Activity Intolerance related to inadequate oxygenation and dyspnea as a key nursing diagnosis. To help minimize this issue, Nurse Anderson educates the client on avoiding conditions that increase oxygen demands. Which condition should the client avoid to reduce oxygen demands?

💡 Hint

Respiratory excursion refers to the visual and tactile assessment of the chest wall's movement during breathing, providing insight into symmetrical expansion and effort.

29 / 30

29. Nurse Collins is conducting a physical examination for Miss Taylor, a 19-year-old female client preparing for college. During the respiratory assessment, Nurse Collins observes the client’s respiratory excursion. What aspect of respiratory function is this observation primarily helping to assess?

💡 Hint

Ineffective coughing can lead to a collapse of lung tissue due to retained secretions, which is a common complication in weak patients with COPD.

30 / 30

30. Nurse Martinez is caring for Mr. Thompson, a 68-year-old male client with chronic obstructive pulmonary disease (COPD) who is recovering from a myocardial infarction. Due to his extreme weakness and inability to produce an effective cough, Nurse Martinez knows that he is at risk for specific respiratory complications. Which condition should she monitor closely for in this client?

Exam Mode

Welcome to your NCLEX Practice Exam for Respiratory System 3! This exam is carefully designed to provide you with a realistic test-taking experience, preparing you for the pressures of an actual nursing exam.

 

Exam Details

  • Number of Questions: 30 items
  • Mode: Exam Mode

Exam Instructions

  1. Exam Mode: This mode is intended to simulate the environment of an actual exam. Questions and choices will be presented one at a time.
  2. Time Limit: Each question must be answered within 90 seconds. The entire exam should be completed within 45 minutes.
  3. Feedback and Grading: Upon completion of the exam, you will be able to see your grade and the correct answers to all questions. This will allow you to evaluate your performance and understand areas for improvement.

This exam is not only a measurement of your current understanding, but also a valuable learning tool to prepare you for your future nursing career.

 

Click 'Start Exam' when you're ready to begin. Good luck!

1 / 30

1. Nurse Bennett is monitoring a client with Guillain-Barré syndrome who has developed respiratory acidosis due to reduced alveolar ventilation. To confirm the diagnosis of respiratory acidosis, Nurse Bennett reviews the client’s arterial blood gas (ABG) results. Which combination of ABG values confirms respiratory acidosis?

2 / 30

2. Nurse Kim is monitoring Mr. Torres, a 58-year-old client recovering from a bronchoscopy and biopsy. While assessing his condition, she watches for critical changes. Which observation, if noted in Mr. Torres, should Nurse Kim report to the physician immediately?

3 / 30

3. During a routine clinic visit, Ms. Thompson, a patient with COPD, asks Nurse Linda how anhydrous theophylline helps manage her condition. Which explanation best describes the drug’s mechanism of action?

4 / 30

4. Nurse Bennett is caring for Mr. Hayes, a 55-year-old male client admitted to the emergency department with complaints of sudden diarrhea, loss of appetite, fatigue, cough, headache, and recurrent chills. Based on his symptoms, the physician suspects Legionnaires’ disease and initiates antibiotic therapy while awaiting confirmatory test results. Which medication should Nurse Bennett anticipate administering as the first-line treatment for this condition?

5 / 30

5. Nurse Patel is preparing to collect a sputum specimen from Mr. Hayes, a 62-year-old male client with a suspected respiratory infection. To ensure an effective collection process, which action should Nurse Patel take to assist Mr. Hayes in providing the specimen?

6 / 30

6. Nurse Anderson is preparing a care plan for Sarah, a 42-year-old female client prescribed streptomycin for tuberculosis. Before starting the therapy, Nurse Anderson emphasizes the importance of monitoring for potential side effects. She instructs Sarah to immediately notify the physician if she experiences a specific health concern. Which symptom should prompt Sarah to contact her healthcare provider?

7 / 30

7. Nurse Anderson is caring for a client with chronic bronchitis and has identified Activity Intolerance related to inadequate oxygenation and dyspnea as a key nursing diagnosis. To help minimize this issue, Nurse Anderson educates the client on avoiding conditions that increase oxygen demands. Which condition should the client avoid to reduce oxygen demands?

8 / 30

8. Nurse Thompson is monitoring a closed chest drainage system for Mr. Carter, a 45-year-old patient recovering from thoracic surgery. She observes constant bubbling in the water-seal chamber and considers its implications. What conclusion should Nurse Thompson draw from this observation?

9 / 30

9. Nurse Riley is suctioning secretions from Ms. Carter, a 50-year-old female client with an endotracheal tube. While performing the procedure, Nurse Riley observes a decreasing heart rate on the monitor. What should Nurse Riley do next to address this change?

10 / 30

10. Nurse Vega is attending to Mr. Ellis, a 68-year-old male client who suddenly sits up in bed, struggling to breathe, with an arterial oxygen saturation of 88%. Which oxygen delivery method should Nurse Vega select to most effectively improve Mr. Ellis’s condition?

11 / 30

11. Nurse Brooks is managing care for Mr. Patel, a 175-lb (79.4 kg) male client receiving aminophylline (400 mg in 500 ml) at 50 ml/hour, with a theophylline level of 6 mcg/ml. The physician orders a new dose of 0.45 mg/kg/hour. How should Nurse Brooks respond to this instruction?

12 / 30

12. Nurse Collins is conducting a physical examination for Miss Taylor, a 19-year-old female client preparing for college. During the respiratory assessment, Nurse Collins observes the client’s respiratory excursion. What aspect of respiratory function is this observation primarily helping to assess?

13 / 30

13. Nurse Carter is educating Mr. Thompson, a 72-year-old client with emphysema, on the technique of pursed-lip breathing to help manage his condition. When Mr. Thompson asks about the purpose of this breathing method, which explanation should Nurse Carter provide?

14 / 30

14. Nurse Thompson is caring for Mr. Hayes, a 58-year-old male client admitted with pneumococcal pneumonia, while another client in the adjacent room is being treated for mycoplasmal pneumonia. During rounds, Nurse Thompson reflects on the similarities between these two types of pneumonia. Despite their differing causes, what feature do all types of pneumonia share?

15 / 30

15. Nurse Alvarez is caring for Mr. Carter, a 45-year-old male client with adult respiratory distress syndrome (ARDS) secondary to shock. His condition has worsened, requiring endotracheal (ET) intubation and mechanical ventilation. When the high-pressure alarm on the ventilator sounds, Nurse Alvarez begins troubleshooting to identify the cause. Which condition is most likely responsible for triggering the high-pressure alarm?

16 / 30

16. Mr. Lawson, a patient with pneumonia, is receiving supplemental oxygen at 2 L/min via nasal cannula. His medical history includes COPD and coronary artery disease. Nurse Rachel carefully monitors his oxygen therapy, knowing that excessive oxygen administration in a patient with COPD can lead to which complication?

17 / 30

17. Nurse Bennett is caring for Mr. Lewis, a 55-year-old male client who has been given an oral dose of codeine to manage his persistent cough. When Mr. Lewis asks how long it will take for the medication to take effect, what should Nurse Bennett tell him?

18 / 30

18. Nurse Adams is discussing respiratory function with Ms. Kim, a 35-year-old patient recovering from pneumonia, to help her understand her breathing patterns. Which term should Nurse Adams use to describe the amount of air moved in and out during a regular breath?

19 / 30

19. Nurse Evans is suctioning secretions from Mr. Lang, a 45-year-old male client with a tracheostomy tube, to maintain a clear airway. To ensure safety during the procedure, what is the maximum time Nurse Evans should apply suction?

20 / 30

20. Nurse Kelly is caring for Mrs. Lewis, a 62-year-old female client with a tracheostomy who no longer requires continuous mechanical ventilation. As part of the weaning process, Nurse Kelly plans to plug the tracheostomy tube opening temporarily. For how long should she initially plug the tube to assess the client’s tolerance?

21 / 30

21. Nurse Torres is assessing Mrs. Lopez, a 45-year-old slightly obese female client with allergy-induced asthma, hypertension, and mitral valve prolapse, admitted for elective surgery. During a thorough exam, Nurse Torres percusses Mrs. Lopez’s chest wall, anticipating which sound from healthy lung tissue?

22 / 30

22. Nurse Collins is caring for a male client admitted to the emergency department at 11 p.m. with a respiratory rate of 44 breaths per minute, audible wheezing, and visible anxiety. Despite receiving oxygen via face mask and intravenous methylprednisolone, the client’s oxygen saturation remains low at 86%, and wheezing persists at 11:30 p.m. What medication should Nurse Collins plan to administer next to address the client’s worsening respiratory status?

23 / 30

23. Nurse Bennett is assessing the respiratory status of Mr. Alvarez, a 60-year-old male client with a history of chronic obstructive pulmonary disease (COPD). During the assessment, she observes his breathing patterns for signs of respiratory distress. Which observation would indicate that the client is experiencing difficulty breathing?

24 / 30

24. Nurse Allen is caring for a 35-year-old dark-skinned client with asthma who presents to the emergency department in acute respiratory distress. Given the client’s skin tone, Nurse Allen knows to assess for cyanosis in areas where it is most easily detected. Which area should she inspect to best identify signs of cyanosis?

25 / 30

25. Nurse Miller is educating Mr. Patel, a 50-year-old male client, about the Mantoux test for tuberculosis. She explains how the test works and what the results indicate. Based on this information, which statement should Nurse Miller include in her teaching?

26 / 30

26. Nurse Roberts is caring for Mr. Hayes, a 58-year-old male client with an endotracheal (ET) tube in place. She knows that ensuring proper airway management is critical for his recovery. Which nursing action should Nurse Roberts prioritize to confirm the ET tube's correct placement and effectiveness?

27 / 30

27. Nurse Martinez is caring for a male client who has undergone a thoracotomy and is receiving epidural analgesia for pain management. During her assessment, she monitors for potential complications of this intervention. Which finding would indicate the most serious complication associated with epidural analgesia?

28 / 30

28. Nurse Martinez is caring for Mr. Thompson, a 68-year-old male client with chronic obstructive pulmonary disease (COPD) who is recovering from a myocardial infarction. Due to his extreme weakness and inability to produce an effective cough, Nurse Martinez knows that he is at risk for specific respiratory complications. Which condition should she monitor closely for in this client?

29 / 30

29. Nurse Harper is evaluating Mr. Jensen, a 52-year-old male client suspected of having a pulmonary embolism. During her assessment, she looks for typical signs of this condition. Which finding should Nurse Harper recognize as a common clinical manifestation of pulmonary embolism?

30 / 30

30. Nurse Sullivan is educating Mr. Grant, a 60-year-old male client with chronic bronchitis, on breathing exercises to improve his respiratory function. Which technique should Nurse Sullivan emphasize in her teaching?