Respiratory Disorders NCLEX Review

1.    A Mantoux test signifies exposure to Mycobacterium Tubercle Bacilli. The test is read for how many hours after injection?
a.    1 hour
b.    12-24 hours
c.    48-72 hours
d.    2 hours

2.    A nurse is about to perform a Mantoux test. The test is done by using which route?
a.    Intradermal
b.    Intramuscular
c.    Subcutaneous
d.    IM with the use of Z-track method

3.    A client is suspected to have an HIV. The nurse knows that in the Mantoux test result, a client is considered positive with HV if he has an induration of:
a.    More than 10 mm
b.    3mm
c.    4 mm
d.    5 mm

4.    A client is about to undergo a chest x-ray. Which of the following should the nurse do first before the procedure?
a.    Secure a written consent
b.    Instruct the client not to eat anything at the night before the procedure
c.    Instruct the client to remove metals from the chest
d.    Administer atropine sulfate and valium before the procedure

5.    Mr. Lorenzo is schedule for a bronchography. Before the procedure the nurse least likely performs which of the following?
a.    Assist the client in a side-lying position
b.    Checking for allergies
c.    Instructing the client to be on NPO for 6-8 hours
d.    Administer atropine sulfate

6.    After thoracentesis the client should be placed on which position?
a.    Affected side
b.    Unaffected side
c.    Prone position
d.    Supine position

7.    The most important action the nurse should do before and after suctioning a client is:
a.    Placing the client in a supine position
b.    Making sure that suctioning takes only 10-15 seconds
c.    Evaluating for clear breath sounds
d.    Hyperventilating the client with 100% oxygen

8.    The position of a conscious client during suctioning is:
a.    Fowler’s
b.    Supine position
c.    Side-lying
d.     Prone

9.    A client is on chest tube. A three-way bottle system is used. The nurse expects that the suction bottle will normally have which of the following characteristics.
a.    Intermittent bubbling
b.    Continuous bubbling
c.    No bubbling
d.    None of the above

10.    Before the nurse’s shift ended, the water seal bottle is observed to have an intermittent suctioning. The nurse should do which of the following?
a.    Check for an air leak
b.    Check for kinks in the tube
c.    Inform the physician immediately
d.    Make sure that the bottle is at least 2-3 feet below the level of the chest

11.    The physician is going to remove the chest tube from a client. The nurse should least likely prepare which of the following item?
a.    Sterile gauze
b.    Suture removal kit
c.    Empty bottles
d.    Adhesive tape

12.    While the chest tube is removed the nurse should instruct the patient to:
a.    Exhale deeply
b.    Inhale deeply
c.    Lie at the abdomen
d.    Hyperextend the neck

13.    A client is brought to the ER with complaints of stuffy nose, headache, persistent cough, fever and post-nasal drip. Pain is complained by the client above the eyebrows. The diagnosis is sinusitis. Which of the following sinuses is affected?
a.    Maxillary
b.    Frontal
c.    Ethmoid
d.    Sphenoid

14.    Which of the following medications is avoided in sinusitis to prevent the risk of developing nasal polyps?
a.    Codeine
b.    Amoxicillin
c.    ASA
d.    Anti-infectives

15.    Which intervention is least likely done for sinutis?
a.    Increase fluid intake
b.    Cold wet packs
c.    Hot wet packs
d.    Rest

16.    A client with sinusitis had undergone Caldwell-Luc Surgery. The nurse should instruct the client to do which of the following after the procedure?
a.    Chew on the unaffected side only.
b.    The client can wear dentures 5 days after.
c.    Sneezing should be avoided for a week after the surgery
d.    All of the above

17.    A teen ager is diagnosed to have inflamed tonsils (tonsillitis). The patient’s history reveals recurrent tonsillitis episodes for about 6 times of the same year. The most appropriate intervention for the patient is:
a.    Promoting rest
b.    Increasing fluid intake
c.    Warm saline gargle
d.    Surgery

18.    Before a tonsillectomy is performed, which of the following data is very crucial for the nurse to assess?
a.    Degree of pain
b.    URTI
c.    Drainage on the ears
d.    Respiration pattern

19.    Mark underwent a tonsillectomy procedure. To promote comfort the following interventions should be done by the nurse except:
a.    Application of ice collar
b.    Assist the client to a semi-fowler’s position with pillow support
c.    Assess for frequent swallowing of the patient
d.    Administration of acetaminophen

20.    Two days after tonsillectomy, Mark’s reported that his stool is black. Initially, the nurse should:
a.    Inform the physician
b.    Document the findings
c.    Obtain stool for analysis
d.    Check the client’s vital signs

21.    Asthma can be caused by extrinsic and intrinsic factors. Presence of these factors triggers the release of the chemical mediators which does not include:
a.    Serotonin
b.    Prostaglandin
c.    Bradykinin
d.    Adrenaline

22.    Presence of overdistended and non-functional alveoli is a condition called:
a.    Bronchitis
b.    Emphysema
c.    Empyema
d.    Atelectasis

a.    Pleural effusion
b.    Hemothorax
c.    Hydrothorax
d.    Pyothorax

24.     A client with COPD is instructed to follow what diet?
a.    High carbohydrate, low calorie and high protein diet
b.    High protein, high calorie and low carbohydrate diet
c.    High carbohydrate, low protein and high calorie diet
d.    High protein, high carbohydrate and high caloric diet

25.    Bronchodilators include the following apart from:
a.    Theophyline
b.    Terbutaline
c.    Metaproterenol
d.    Dipenhydramine

Answers and Rationale

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Latest Comments
  1. jose

    buena informacion

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