NCLEX-PN Test #8 1

Question 1

A client with COPD is admitted with acute exacerbation. The nurse prepares to administer supplemental oxygen. Which oxygen delivery method and flow rate is most appropriate for this client?

Accepted Answer

Nasal cannula at 1–2 L/min

Answer

Nonrebreather mask at 10–15 L/min

Answer

Simple face mask at 8 L/min

Answer

Venturi mask at 6 L/min with 35% FiO2

Question 2

A nurse is suctioning a client's tracheostomy. During suctioning, the client's SpO2 drops from 97% to 84%. Which action should the nurse take first?

Accepted Answer

Remove the suction catheter and apply 100% oxygen

Answer

Increase the suction pressure and complete the procedure quickly

Answer

Pause briefly, then resume suctioning

Answer

Call for emergency intubation

Question 3

A nurse is performing auscultation on a client admitted with pneumonia. Crackles (rales) are heard in the right lower lobe. Which finding would the nurse most likely also observe?

Accepted Answer

Tachypnea and decreased breath sounds in the affected lobe

Answer

Barrel chest and prolonged expiration

Answer

Wheezing on inspiration throughout all lung fields

Answer

Stridor and use of accessory muscles at rest

Question 4

A postoperative client refuses to use the incentive spirometer, stating, 'It hurts too much to breathe deeply.' What is the nurse's best response?

Accepted Answer

Offer pain medication 30 minutes before incentive spirometry and splint the incision with a pillow

Answer

Excuse the client from using it and document the refusal

Answer

Instruct the client to use the spirometer as ordered or risk pneumonia

Answer

Perform chest physiotherapy instead of incentive spirometry

Question 5

A nurse is caring for a client on mechanical ventilation. The high-pressure alarm is sounding. Which condition is least likely to cause this alarm?

Accepted Answer

A disconnection in the ventilator circuit

Answer

The client is biting on the endotracheal tube

Answer

Secretions accumulating in the airway

Answer

The client is coughing or fighting the ventilator

Question 6

A client with asthma is admitted with an acute exacerbation. The nurse notes the client is using accessory muscles to breathe, has an expiratory wheeze, and SpO2 is 90%. Which action takes priority?

Accepted Answer

Apply oxygen and administer the prescribed bronchodilator (albuterol) via nebulizer

Answer

Place the client in a supine position and obtain a peak flow reading

Answer

Administer IV corticosteroids before any other intervention

Answer

Draw an ABG and wait for results before treating