NCLEX Practice Exam for Respiratory System 1

Practice Mode

Welcome to your NCLEX Practice Exam for Respiratory System 1! 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.

Tips For Success

  • Read each question carefully. Take your time and don't rush.
  • Understand the rationale behind each answer. This will not only help you during this exam, but also assist in reinforcing your learning.
  • Don't be discouraged by incorrect answers. Use them as an opportunity to learn and improve.
  • Take breaks if you need them. It's not a race, and your understanding is what's most important.
  • Keep a positive attitude and believe in your ability to succeed.

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

Think about which parameter best reflects the client's current respiratory status and ability to sustain breathing without mechanical support.

1 / 30

1. Nurse Emily is preparing to wean Mr. Thompson from a ventilator. To ensure a safe and effective process, which assessment parameter is the most crucial for her to review?

💡 Hint

Consider the therapeutic range for theophylline that balances efficacy with safety, avoiding toxicity.

2 / 30

2. Nurse Emma is caring for Ms. Green, a client with asthma who is receiving a theophylline preparation to promote bronchodilation. Due to the risk of drug toxicity, Nurse Emma must closely monitor Ms. Green's serum theophylline levels. She knows that the therapeutic concentration for theophylline falls within which range?

💡 Hint

Think about the gradual process of weaning and the importance of initially starting with short, manageable intervals to monitor the patient's response.

3 / 30

3. Nurse Ramirez is working with Ms. Lopez, a patient who has a tracheostomy but no longer needs continuous mechanical ventilation. As part of the weaning process, Nurse Ramirez needs to initially plug the tracheostomy tube opening for how long?

💡 Hint

To prevent discomfort and possible aspiration, consider the timing of the procedure in relation to meals.

4 / 30

4. Nurse Adams is caring for Mr. Anderson, a patient with cystic fibrosis who has been admitted with an acute respiratory infection. His treatment plan includes chest physiotherapy. When should Nurse Adams schedule this procedure?

💡 Hint

Focus on an essential nursing task that involves monitoring the output and functioning of the drainage system.

5 / 30

5. Nurse Lisa is caring for Mr. Anderson, who has a chest tube connected to a closed water-seal drainage system. What action should she include in his plan of care?

💡 Hint

Consider which benefit directly addresses a common issue faced by patients with emphysema regarding their airways.

6 / 30

6. Nurse Patel is teaching Mrs. Wilson, a patient with emphysema, the proper technique for pursed-lip breathing. Mrs. Wilson is curious about the benefits of this breathing method and asks Nurse Patel to explain its purpose. What should Nurse Patel say?

💡 Hint

Consider the primary concern that ensures the patient’s immediate survival and respiratory function.

7 / 30

7. Nurse Williams is attending to Mr. Johnson, a patient who recently had a tracheostomy. What should be Nurse Williams' first priority in caring for Mr. Johnson?

💡 Hint

Look for an ABG result that shows a decreased pH indicating acidity and an increased PaCO2 indicating retained carbon dioxide.

8 / 30

8. Nurse Smith is caring for Mr. Rodriguez, a patient diagnosed with Guillain-Barré syndrome. He starts showing signs of respiratory acidosis due to reduced alveolar ventilation. Which set of arterial blood gas (ABG) values would confirm respiratory acidosis?

💡 Hint

Consider the range that is typically maintained by the body's regulatory mechanisms to ensure proper physiological function.

9 / 30

9. Nurse Ava is reviewing lab results for Mr. Clark, focusing on his arterial blood gas (ABG) values. She wants to ensure his pH levels fall within the normal range for arterial blood. What is the normal pH range for arterial blood?

💡 Hint

Think about the recommended infusion time to prevent potential adverse reactions such as "Red Man Syndrome."

10 / 30

10. Nurse Jackson is preparing to administer I.V. vancomycin (Vancocin) to Mr. Daniels. When preparing to administer this medication, what should the nurse keep in mind?

💡 Hint

Consider the complication that directly affects the respiratory system and is commonly seen following influenza, especially in older adults.

11 / 30

11. Nurse Lee is assigned to Mr. Johnson, an elderly patient admitted to the acute care unit with influenza. She knows that close monitoring for complications is crucial. What is the most common complication that Nurse Lee should be vigilant about?

💡 Hint

Consider what a positive PPD test signifies about the client's history with tuberculosis, not necessarily their current status.

12 / 30

12. Nurse Kim is administering a purified protein derivative (PPD) test to a homeless client. She needs to accurately inform the client about the implications of the test results. Which of the following statements about PPD testing is correct?

💡 Hint

Consider the intervention that can temporarily decrease oxygen levels due to its invasive nature.

13 / 30

13. Nurse Sarah is attending to a patient with a tracheostomy and a high fever of 103° F (39.4° C). Which intervention is most likely to decrease the client's arterial blood oxygen saturation?

💡 Hint

Think about the oxygen delivery method that provides the highest concentration of oxygen for acute respiratory distress.

14 / 30

14. Nurse Johnson rushes to Mr. Lee's room when he suddenly sits up in bed, complaining of difficulty breathing, with an arterial oxygen saturation of 88%. Which oxygen delivery method is most likely to improve his condition?

💡 Hint

Consider factors that increase the workload on the respiratory system, thereby increasing oxygen demands.

15 / 30

15. Nurse Megan formulates a nursing diagnosis of Activity intolerance related to inadequate oxygenation and dyspnea for Mr. Lewis, a client with chronic bronchitis. To help minimize this problem, she advises him to avoid situations that elevate oxygen demands. Which of the following conditions should be avoided?

💡 Hint

Think about areas where changes in coloration due to oxygen deprivation are most evident, even in clients with darker skin tones.

16 / 30

16. Nurse Linda is assessing Mr. Johnson, a black male client with asthma who has come to the emergency department for acute respiratory distress. To accurately check for signs of cyanosis in this client with dark skin, the nurse should inspect the:

💡 Hint

Focus on the diagnosis that directly impacts the patient’s ability to breathe effectively, which is the primary concern in COPD.

17 / 30

17. Nurse Daniels is admitting Mr. Green, a patient with chronic obstructive pulmonary disease (COPD), to the healthcare facility. To prioritize his care, which nursing diagnosis is most crucial for Mr. Green?

💡 Hint

Think about the immediate action to prevent air from entering the pleural space and maintaining the integrity of the system.

18 / 30

18. Nurse Patel is attending to Mr. Thompson, a patient with a chest tube in place following thoracic surgery. During her shift, the chest drainage system accidentally becomes disconnected. What should Nurse Patel plan to do first?

💡 Hint

Consider a condition that would lead to increased respiratory rate and excessive loss of carbon dioxide.

19 / 30

19. Nurse Kelly is about to see Ms. Roberts, a newly assigned client with respiratory alkalosis. Beforehand, she reviews the client's medical history. Which condition could predispose Ms. Roberts to respiratory alkalosis?

💡 Hint

Consider the condition that can affect peripheral perfusion and thus impact the accuracy of pulse oximetry readings.

20 / 30

20. Nurse Blake is managing the care of Ms. Roberts, who has been admitted to the intensive care unit and placed on mechanical ventilation after suffering respiratory arrest. The physician has ordered pulse oximetry to monitor her arterial oxygen saturation (SaO2) noninvasively. Which vital sign abnormality could potentially alter the pulse oximetry readings?

💡 Hint

Consider the condition related to the sudden lack of endogenous corticosteroids due to the abrupt withdrawal of prednisone.

21 / 30

21. Nurse Thompson is educating Ms. Carter, a patient with interstitial lung disease, who has been prescribed prednisone (Deltasone) to manage inflammation. During the teaching session, Nurse Thompson emphasizes the importance of adhering to the prescribed regimen and warns against abruptly stopping the medication. If Ms. Carter discontinues prednisone suddenly, she might experience:

💡 Hint

Consider a condition that results from inadequate oxygen levels in the blood, often seen in patients with severe respiratory issues.

22 / 30

22. Nurse Stevens is conducting a home visit for Mrs. Clarke, a patient with advanced lung cancer. During the assessment, Nurse Stevens notes wheezing, bradycardia, and a respiratory rate of 10 breaths per minute. These symptoms are indicative of which condition?

💡 Hint

Think about which intervention directly enhances oxygen delivery and breathing efficiency for a COPD patient.

23 / 30

23. Nurse Andrews is caring for Mr. Thompson, a 65-year-old patient diagnosed with COPD. To ensure Mr. Thompson maintains adequate gas exchange, Nurse Andrews must choose the most effective nursing action. Which action should she prioritize?

💡 Hint

Think about how albuterol affects the respiratory system and what clinical sign would reflect improved lung function.

24 / 30

24. Nurse Taylor administers albuterol (Proventil) to Mr. Johnson, a client with emphysema, as per the physician's order. She monitors him for signs that the medication is effective. Which of the following findings would indicate a therapeutic response to the drug?

 

💡 Hint

Aim for an FIO2 level that is safe for long-term use to minimize oxygen toxicity while ensuring adequate oxygenation.

25 / 30

25. Nurse Stevens is caring for John, a 45-year-old male patient with pneumonia who has developed respiratory failure. His partial pressure of arterial oxygen (PaO2) is 55 mm Hg, and he has been placed on mechanical ventilation with a fraction of inspired oxygen (FIO2) of 0.9. Nurse Stevens' goal is to reduce the FIO2 to a safer level. What should the target FIO2 be?

💡 Hint

Think about the intervention that actively helps in clearing the airways to improve breathing in COPD patients.

26 / 30

26. Nurse Davis is providing care for Mr. Harris, a patient with chronic obstructive pulmonary disease (COPD). Which nursing intervention would most effectively help maintain a patent airway for Mr. Harris?

💡 Hint

Think about which ABG value directly reflects the oxygenation status of the blood.

27 / 30

27. Nurse Olivia is assessing the effectiveness of supplemental oxygen therapy for Ms. Roberts. To determine how well the therapy is working, which arterial blood gas (ABG) value is the most critical to evaluate?

💡 Hint

Focus on the intervention that addresses respiratory alkalosis indicated by the ABG results.

28 / 30

28. Nurse Laura is reviewing the ABG results of Mr. Peterson, which show a pH of 7.5, PaCO2 of 26 mm Hg, O2 saturation of 96%, HCO3 of 24 mEq/L, and PaO2 of 94 mm Hg. Based on these values, what would be the most appropriate intervention?

💡 Hint

Focus on an intervention that would address the bronchospasm directly and improve respiratory function.

29 / 30

29. At 11 p.m., Mr. Johnson is admitted to the emergency department with a respiratory rate of 44 breaths per minute. He appears anxious, and audible wheezes are present. He is immediately given oxygen by face mask and methylprednisolone (Depo-medrol) I.V. By 11:30 p.m., his arterial blood oxygen saturation is 86%, and he continues to wheeze. What should the nurse plan to administer next?

💡 Hint

This term refers to the normal volume of air displaced between inhalation and exhalation when extra effort is not applied.

30 / 30

30. Nurse Taylor is reviewing respiratory physiology with a nursing student. She asks the student to identify the term for the amount of air inspired and expired with each breath. What is this called?

Exam Mode

Welcome to your NCLEX Practice Exam for Respiratory System 1! 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.

Tips For Success

  • Read each question carefully. You have 90 seconds per question, so make sure you understand the question before selecting your answer.
  • Pace yourself. Remember, you have 45 minutes in total, so try to maintain a steady rhythm.
  • Focus on one question at a time. Try not to worry about the questions to come.
  • Stay calm under pressure. Use your knowledge and trust your instincts.
  • Remember, it's not just about the score, but about the learning process.

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 Ava is reviewing lab results for Mr. Clark, focusing on his arterial blood gas (ABG) values. She wants to ensure his pH levels fall within the normal range for arterial blood. What is the normal pH range for arterial blood?

2 / 30

2. Nurse Adams is caring for Mr. Anderson, a patient with cystic fibrosis who has been admitted with an acute respiratory infection. His treatment plan includes chest physiotherapy. When should Nurse Adams schedule this procedure?

3 / 30

3. Nurse Lisa is caring for Mr. Anderson, who has a chest tube connected to a closed water-seal drainage system. What action should she include in his plan of care?

4 / 30

4. Nurse Kelly is about to see Ms. Roberts, a newly assigned client with respiratory alkalosis. Beforehand, she reviews the client's medical history. Which condition could predispose Ms. Roberts to respiratory alkalosis?

5 / 30

5. Nurse Davis is providing care for Mr. Harris, a patient with chronic obstructive pulmonary disease (COPD). Which nursing intervention would most effectively help maintain a patent airway for Mr. Harris?

6 / 30

6. Nurse Daniels is admitting Mr. Green, a patient with chronic obstructive pulmonary disease (COPD), to the healthcare facility. To prioritize his care, which nursing diagnosis is most crucial for Mr. Green?

7 / 30

7. Nurse Blake is managing the care of Ms. Roberts, who has been admitted to the intensive care unit and placed on mechanical ventilation after suffering respiratory arrest. The physician has ordered pulse oximetry to monitor her arterial oxygen saturation (SaO2) noninvasively. Which vital sign abnormality could potentially alter the pulse oximetry readings?

8 / 30

8. Nurse Stevens is caring for John, a 45-year-old male patient with pneumonia who has developed respiratory failure. His partial pressure of arterial oxygen (PaO2) is 55 mm Hg, and he has been placed on mechanical ventilation with a fraction of inspired oxygen (FIO2) of 0.9. Nurse Stevens' goal is to reduce the FIO2 to a safer level. What should the target FIO2 be?

9 / 30

9. Nurse Patel is teaching Mrs. Wilson, a patient with emphysema, the proper technique for pursed-lip breathing. Mrs. Wilson is curious about the benefits of this breathing method and asks Nurse Patel to explain its purpose. What should Nurse Patel say?

10 / 30

10. Nurse Williams is attending to Mr. Johnson, a patient who recently had a tracheostomy. What should be Nurse Williams' first priority in caring for Mr. Johnson?

11 / 30

11. Nurse Jackson is preparing to administer I.V. vancomycin (Vancocin) to Mr. Daniels. When preparing to administer this medication, what should the nurse keep in mind?

12 / 30

12. Nurse Sarah is attending to a patient with a tracheostomy and a high fever of 103° F (39.4° C). Which intervention is most likely to decrease the client's arterial blood oxygen saturation?

13 / 30

13. At 11 p.m., Mr. Johnson is admitted to the emergency department with a respiratory rate of 44 breaths per minute. He appears anxious, and audible wheezes are present. He is immediately given oxygen by face mask and methylprednisolone (Depo-medrol) I.V. By 11:30 p.m., his arterial blood oxygen saturation is 86%, and he continues to wheeze. What should the nurse plan to administer next?

14 / 30

14. Nurse Emma is caring for Ms. Green, a client with asthma who is receiving a theophylline preparation to promote bronchodilation. Due to the risk of drug toxicity, Nurse Emma must closely monitor Ms. Green's serum theophylline levels. She knows that the therapeutic concentration for theophylline falls within which range?

15 / 30

15. Nurse Emily is preparing to wean Mr. Thompson from a ventilator. To ensure a safe and effective process, which assessment parameter is the most crucial for her to review?

16 / 30

16. Nurse Johnson rushes to Mr. Lee's room when he suddenly sits up in bed, complaining of difficulty breathing, with an arterial oxygen saturation of 88%. Which oxygen delivery method is most likely to improve his condition?

17 / 30

17. Nurse Ramirez is working with Ms. Lopez, a patient who has a tracheostomy but no longer needs continuous mechanical ventilation. As part of the weaning process, Nurse Ramirez needs to initially plug the tracheostomy tube opening for how long?

18 / 30

18. Nurse Thompson is educating Ms. Carter, a patient with interstitial lung disease, who has been prescribed prednisone (Deltasone) to manage inflammation. During the teaching session, Nurse Thompson emphasizes the importance of adhering to the prescribed regimen and warns against abruptly stopping the medication. If Ms. Carter discontinues prednisone suddenly, she might experience:

19 / 30

19. Nurse Taylor administers albuterol (Proventil) to Mr. Johnson, a client with emphysema, as per the physician's order. She monitors him for signs that the medication is effective. Which of the following findings would indicate a therapeutic response to the drug?

 

20 / 30

20. Nurse Andrews is caring for Mr. Thompson, a 65-year-old patient diagnosed with COPD. To ensure Mr. Thompson maintains adequate gas exchange, Nurse Andrews must choose the most effective nursing action. Which action should she prioritize?

21 / 30

21. Nurse Kim is administering a purified protein derivative (PPD) test to a homeless client. She needs to accurately inform the client about the implications of the test results. Which of the following statements about PPD testing is correct?

22 / 30

22. Nurse Linda is assessing Mr. Johnson, a black male client with asthma who has come to the emergency department for acute respiratory distress. To accurately check for signs of cyanosis in this client with dark skin, the nurse should inspect the:

23 / 30

23. Nurse Patel is attending to Mr. Thompson, a patient with a chest tube in place following thoracic surgery. During her shift, the chest drainage system accidentally becomes disconnected. What should Nurse Patel plan to do first?

24 / 30

24. Nurse Taylor is reviewing respiratory physiology with a nursing student. She asks the student to identify the term for the amount of air inspired and expired with each breath. What is this called?

25 / 30

25. Nurse Stevens is conducting a home visit for Mrs. Clarke, a patient with advanced lung cancer. During the assessment, Nurse Stevens notes wheezing, bradycardia, and a respiratory rate of 10 breaths per minute. These symptoms are indicative of which condition?

26 / 30

26. Nurse Lee is assigned to Mr. Johnson, an elderly patient admitted to the acute care unit with influenza. She knows that close monitoring for complications is crucial. What is the most common complication that Nurse Lee should be vigilant about?

27 / 30

27. Nurse Megan formulates a nursing diagnosis of Activity intolerance related to inadequate oxygenation and dyspnea for Mr. Lewis, a client with chronic bronchitis. To help minimize this problem, she advises him to avoid situations that elevate oxygen demands. Which of the following conditions should be avoided?

28 / 30

28. Nurse Olivia is assessing the effectiveness of supplemental oxygen therapy for Ms. Roberts. To determine how well the therapy is working, which arterial blood gas (ABG) value is the most critical to evaluate?

29 / 30

29. Nurse Laura is reviewing the ABG results of Mr. Peterson, which show a pH of 7.5, PaCO2 of 26 mm Hg, O2 saturation of 96%, HCO3 of 24 mEq/L, and PaO2 of 94 mm Hg. Based on these values, what would be the most appropriate intervention?

30 / 30

30. Nurse Smith is caring for Mr. Rodriguez, a patient diagnosed with Guillain-Barré syndrome. He starts showing signs of respiratory acidosis due to reduced alveolar ventilation. Which set of arterial blood gas (ABG) values would confirm respiratory acidosis?