NCLEX Review Respiratory Questions (46-50)

NCLEX Review Respiratory Questions

46. Which of the following assessment findings in a client with a closed chest tube drainage should concern the nurse most?

a) continuous, vigorous bubbling in the suction control chamber
b) continuous, gentle bubbling in the suction control chamber
c) continuous fluctuations of fluid along the tube in the water-seal chamber
d) absence of bubbling in the water-seal chamber

47. A 4-year old female client is brought to the emergency room after waking up with bark-like cough and stridor. On arrival to the ER, she has respiratory distress and is afebrile. The diagnosis is croup. What instruction should you give the parents?

a) perform percussion and postural drainage before putting the child to bed and before meals
b) run a cool mist vaporizer in patient's room during the day
c) encourage the child to do coughing and deep breathing exercises
d) bring the child to the bathroom and have the tap run with warm water during acute episodes of cough  

48. Which of the following teachings should be given to the mother when her child is in a mist tent for liquefication of secretions?

a) give the child a stuff toy inside the mist tent
b) avoid nylon blanket inside the mist tent
c) advise mother to let the child stay in the mist tent
d) give the child coloring book inside the mist tent

49. A nurse assesses a client with a chest tube who is restless and diaphoretic, and has a temperature of 101.2 F. The client reports pain at the chest tube site. Which action should the nurse take first?

a) administer pain medication
b)auscultate the client's lungs
c) check the client's blood pressure and pulse
d) check the chest tube dressing and tubing

50. A nurse has assisted a physician with the insertion of a chest tube. The nurse monitors the client and notes fluctuation of the fluid level in the water seal chamber after the tube is inserted. Based on this assessment, which action would be appropriate?

a) inform the physician
b) continue to monitor the client
c) reinforce the occlusive dressing
d) encourage the client to deep-breathe





NCLEX Review Respiratory Questions:
ANSWERS AND RATIONALE

46) A
- vigorous bubbling in the suction control chamber indicates that the pressure of suction is very high. This may cause trauma to the pleura, and should concern the nurse. Options B, C, and D are normal findings.

47) B
- cool mist vaporizer will relieve spasm of airways. This will promote easy breathing of the child with croup.

48) C
- a child should stay inside the mist tent to liquefy mucous secretions and facilitate breathing. Toys that absorb moisture like stuff toys and coloring book should be avoided. Dampness lowers resistance to infection.

49) B
- assessment of the respiratory status is a priority among clients with chest tube.

50) B
- the presence of fluctuation of the fluid level in the water seal chamber indicates a patent drainage system. With normal breathing, the water level rises with inspiration and falls with expiration. Fluctuation stops if the tube is obstructed, if a dependent loop exists. If the suction is not working properly, or if the lung has re-expanded. Option A, C, and D are incorrect. 


Go to the next page ---> NCLEX Review Respiratory Questions (51-55)  

Or go back to NCLEX Review Respiratory Questions (1-6) to start the test from the beginning.