NCLEX Respiratory Questions

Extract:

Question 1 of 5

The client is diagnosed with a pulmonary embolus (PE) and is receiving a heparin drip. The bag hanging is 20,000 units/500 mL of D5W infusing at 22 mL/hr. How many units of heparin is the client receiving each hour?

Correct Answer: 880

Rationale: Heparin rate: (20,000 units ÷ 500 mL) × 22 mL/hr = 40 units/mL × 22 mL/hr = 880 units/hr.

Question 2 of 5

The nurse is planning care for a client who has COPD. Which statement is the client most likely to say about activity tolerance?

A. The most difficult time of the day for me is the first hour after waking up in the morning.' B. I feel best in the morning after a good night's sleep.' C. I seem to have more energy after eating a big meal.' D. I don't know why, but I get my 'second wind' at night and don't want to go to bed.'

Correct Answer: A

Rationale: Morning fatigue is common in COPD due to mucus accumulation and poor sleep, affecting activity tolerance.

Question 3 of 5

Which outcome is appropriate for the client problem 'ineffective gas exchange' for the client recently diagnosed with COPD?

A. The client demonstrates the correct way to pursed-lip breathe. B. The client lists three (3) signs/symptoms to report to the HCP. C. The client will drink at least 2,500 mL of water daily. D. The client will be able to ambulate 100 feet with dyspnea.

Correct Answer: A

Rationale: Pursed-lip breathing (
A) improves gas exchange by prolonging exhalation. Symptom reporting (
B), hydration (
C), and ambulation with dyspnea (
D) are unrelated to gas exchange.

Question 4 of 5

A 79-year-old client is admitted to the hospital with a diagnosis of pneumococcal pneumonia. The client has dyspnea. The client's temperature is 102Â°F, respirations are 36, and pulse is 92. Bed rest is ordered for this client primarily to:

A. promote thoracic expansion. B. prevent the development of atelectasis. C. decrease metabolic needs. D. prevent infection of others.

Correct Answer: C

Rationale: Bed rest reduces metabolic and oxygen demands in a client with pneumonia and dyspnea, aiding recovery.

Question 5 of 5

Which of the following best indicates that the client's grief is beginning to resolve?

A. The client wants only the spouse to visit. B. The client says the physician made an incorrect diagnosis. C. The client looks at the tracheostomy tube in a mirror. D. The client asks the nurse for help with bathing.

Correct Answer: C

Rationale: Looking at the tracheostomy tube in a mirror suggests acceptance of the body image change, indicating progress in resolving grief.

NCLEX Respiratory Questions | Nurselytic

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