NCLEX-PN Exam Questions - Part 36

1. Signs of impaired breathing in infants and children include all of the following except:

A) nasal flaring.
B) grunting.
C) seesaw breathing.
D) quivering lips.



2. Which of the following observations is most important when assessing a client - s breathing?

A) presence of breathing and pulse rate
B) breathing pattern and adequacy of breathing
C) presence of breathing and adequacy of breathing
D) patient position and adequacy of breathing



3. A client has chronic respiratory acidosis caused by end-stage chronic obstructive pulmonary disease (COPD). Oxygen is delivered at 1 L/min per nasal cannula.The nurse teaches the family that the reason for this is to avoid respiratory depression, based on which of the following explanations?

A) COPD clients are stimulated to breathe by hypoxia.
B) COPD clients depend on a low carbon dioxide level.
C) COPD clients tend to retain hydrogen ions if they are given high doses of oxygen.
D) COPD clients thrive on a high oxygen level.



4. A client goes to the Emergency Department with acute respiratory distress and the following arterial blood gases (ABGs): pH 7.35, PCO2 40 mmHg, PO263mmHg, HCO3 23, and oxygenation saturation ( SaO2) 93%. Which of the following represents the best analysis of the etiology of these ABGs?

A) tuberculosis (TB)
B) pneumonia
C) pleural effusion
D) hypoxia



5. The nurse is teaching a client about erythema infectiosum. Which of the following factors are not correct?

A) There is no rash.
B) The disorder is uncommon in adults.
C) There is no fever.
D) There is sometimes a 'slapped face' appearance.