NCLEX Questions about Airway – Obstruction and Asthma

1. An elderly client with pneumonia may appear with which of the following symptoms first? a. Altered mental status and dehydration b. fever and chills c. Hemoptysis and dyspnea d. Pleuretic chest pain and cough 2. Which of the following pathophysiological mechanisms that occurs in the lung parenchyma allows pneumonia to develop? a. Atelectasis b. Bronchiectasis c. Effusion d. Inflammation 3. A 7-year-old client is brought to the E.R. He’s tachypneic and afebrile and has a respiratory rate of 36 breaths/minute and a nonproductive cough. He recently had a cold. From his history, the client may have which of the following? a. Acute asthma b. Bronchial pneumonia c. Chronic obstructive pulmonary disease (COPD) d. Emphysema 4. Which of the following assessment findings would help confirm a diagnosis of asthma in a client suspected of having the disorder? a. Circumoral cyanosis b. Increased forced expiratory volume c. Inspiratory and expiratory wheezing d. Normal breath sounds 5. Which of the following types of asthma involves an acute asthma attack brought on by an upper respiratory infection? a. Emotional b. Extrinsic c. Intrinsic d. Mediated 6. A client with acute asthma showing inspiratory and expiratory wheezes and a decreased expiratory volume should be treated with which of the following classes of medication right away? a. Beta-adrenergic blockers b. Bronchodilators c. Inhaled steroids d. Oral steroids 7. A 19-year-old comes into the emergency department with acute asthma. His respiratory rate is 44 breaths/minute, and he appears to be in acute respiratory distress. Which of the following actions should be taken first? a. Take a full medication history b. Give a bronchodilator by neubulizer...

[ANSWERS & RATIONALE] NCLEX PREP Reduction of Risk Potential

These answers are one of the NCLEX prep samples for Reduction of Risk Potential. Click here to view the questions. If you want to answer all of our NCLEX questions interactively then be one of our member today. Click here to join. It’s Free. 1. D. These test results indicate anemia. Impaired oxygen-carrying capacity of red blood cells causes cellular hypoxia and results in fatigue. Conserving energy limits oxygen expenditure and minimizes fatigue. Increased mobility (4) increases the demand for oxygen and contributes to fatigue. Although hypoxic tissues are more vulnerable to breakdown, protecting the integumentary system (1) is not as high a priority as is the promotion of the body’s overall oxygenation. Constipation (3) is not a problem in anemia. 2. D. The first specimen is discarded because it is considered “old urine” or urine that was in the bladder before the test began. After the first discarded specimen, urine is collected for 24 hours. 3. D. While all the other conditions may be complications, bleeding from the site is the main concern. The procedure is done to achieve relief from infection caused by urinary stasis, which may have resulted in kidney congestion. 4. B. Glycosylated Hemoglobin (Hgb) is a lab value which reflects glucose combining with Hgb and attaching to the red blood cells (RBC’s) for the life of RBC.  This test, therefore, is indicative of control of blood sugar, regardless of increase or decreases in serum glucose values. A value of 10% or less is considered good control.  Choices (1) and (3) are incorrect, although (4) might seem likely and may be true, it is NOT...

NCLEX PREP Reduction of Risk Potential

These questions are one of the NCLEX prep samples for Reduction of Risk Potential. This post has a 15 set of questions with the accompanying answers and rationale located at the bottom. If you want to answer all of our NCLEX questions interactively then be one of our member today. Click here to join. It’s Free. 1. A client’s laboratory results are returned and the hemoglobin is 10 g/dL and the hematocrit is 30 percent. The highest-priority nursing goal should be to a. Encourage mobility. b. Promote skin integrity. c. Prevent constipation. d. Conserve the client’s energy. 2. The physician has ordered a 24-hour urine specimen. After explaining the procedure to the client, the nurse collects the first specimen. This specimen is then a. Placed in a separate container and later added to the collection. b. Saved as part of the 24-hour collection. c. Tested, then discarded. d. Discarded, then the collection begins. 3. The main complication following a nephrostomy that the nurse must assess for is a. Contamination of the site. b. Difficulty in restoring fluid and electrolyte balance. c. Cardiopulmonary involvement following the procedure. d. Bleeding from the nephrostomy site. 4. You are assigned to work in the Endocrine Clinic.  A teenage patient with Type I Diabetes comes for monthly evaluation.  Her serum glucose is 175mg/dl and the Glycosylated Hgb is 25%.  Based on these lab values, which of the following determinations can the nurse make about the patient’s control of her diabetes? a. That it is in good control b. That it is being poorly controlled and further evaluation is warranted c. Serum Glucose is within an acceptable range. Glycosylated...

(ANSWERS & RATIONALE) NCLEX Practice Test for Psychosocial Integrity

These answers are one of the NCLEX prep samples for Psychosocial Integrity. Click here to view the questions. If you want to answer all of our NCLEX questions interactively then be one of our member today. Click here to join. It’s Free. 1. A. At 12 months, the child should be starting to walk. A hospitalization at this time could delay this developmental stage. The child should sit (4) by 6 months and should already be crawling (1) by 1 year of age. 2. D. Even though all of the reasons are important and should not be ignored, the most important task for the staff is to assess the client’s behavior and to identify cues that might indicate another impending suicide attempt. 3. B. One of the most important elements of trust is consistency. The client learns to trust that the nurse will follow through and do what is promised. Avoiding limit setting will not instill trust, nor will encouraging testing behaviors or telling the client how he should behave. 4. B. Hallucinations may involve any sense, and they have no basis in reality. The most common are auditory. Answer (3) is an example of an auditory hallucination. Answer (2) is an illusion; answer (4) is a delusion. 5. D. The client is placing blame on others and not taking responsibility for her own behavior. Reaction-formation is preventing “dangerous” feelings from being expressed by exaggerating the opposite attitude. Compensation is covering up a weakness by emphasizing a desirable trait. Acting out is not a defense mechanism. 6. D. The most important nursing attitude which underlies all interactions with this...

NCLEX Practice Test for Psychosocial Integrity

These questions are one of the NCLEX prep samples for Psychosocial Integrity. This post has a 15 set of questions with the accompanying answers and rationale located at the bottom. If you want to answer all of our NCLEX questions interactively then be one of our member today. Click here to join. It’s Free. 1. Considering the physical developmental period of a 1 year old, hospitalization may affect or delay his progression with a. Walking. b. Crawling. c. Running. d. Sitting. 2. A client makes a suicide attempt on the evening shift. The staff intervenes in time to prevent harm. In assessing the situation, the most important rationale for the staff to discuss the incident is that a. The staff needs to file an incident report so that the hospital administration is kept informed. b. They need to reenact the attempt so that they understand exactly what happened. c. Because the client made one suicide attempt, there is high probability he will make a second attempt in the immediate future. d. The staff needs to discuss the client’s behavior to determine what cues in his behavior might have warned them that he was contemplating suicide. 3. Trust may develop in the nurse-client relationship when the nurse a. Encourages the client to use “testing” behaviors. b. Uses consistency in approaching the client. c. Tells the client how he should behave. d. Avoids limit setting. 4. A 20-year old male client is admitted to the psychiatric unit with a diagnosis of schizophrenia, acute episode. He is having auditory hallucinations and seems disoriented to time and place. The nurse knows that a hallucination can be...

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