NCLEX CRUSADE ACADEMY TEST - 1 RESPIRATORY DISORDERS

1. Obstructive Sleep Apnea (OSA) is defined as: Continuous hyperventilation during sleep. Repetitive cessation of breathing due to airway obstruction. Permanent lung collapse. Excess oxygen retention.

2. Which symptom is part of the '3 S's' of obstructive sleep apnea?. Sneezing. Snoring. Sweating. Swelling.

3. Which treatment is considered the gold standard for obstructive sleep apnea?. Oxygen mask. CPAP. Intubation. Bronchodilator therapy.

4. If a patient using CPAP begins to desaturate, the nurse should first: Increase oxygen. Check the mask fit. Call the physician. Stop CPAP therapy.

5. Which factor increases risk for obstructive sleep apnea?. Low BMI. Young age. Obesity. Hypoglycemia.

6. During the perioperative period, OSA patients are at increased risk for airway collapse due to: Increased oxygen. Muscle relaxation from anesthesia and opioids. Dehydration. Elevated glucose.

7. Which nursing intervention reduces airway collapse in OSA patients postoperatively?. Supine positioning. Elevate head of bed 3045 degrees. Restrict oxygen. Keep patient flat.

8. Hospital-acquired pneumonia (HAP) typically develops: Within 12 hours of admission. After 24 hours. After 48 hours. After 7 days.

9. Which organism is commonly associated with hospital-acquired pneumonia?. Streptococcus pyogenes. Pseudomonas. Salmonella. Clostridium.

10. Which symptom is most characteristic of pneumonia?. Dry cough only. Productive cough with purulent sputum. Joint pain. Rash.

11. Which laboratory finding suggests infection in pneumonia?. Leukopenia. Leukocytosis. Low platelets. Hyperglycemia.

12. What diagnostic imaging is commonly used to confirm pneumonia?. MRI. CT abdomen. Chest X-ray. Ultrasound.

13. What should be obtained before starting antibiotic therapy in pneumonia?. Blood pressure. Sputum culture. Glucose level. Pulse rate.

14. What oxygen saturation goal should be maintained in pneumonia patients?. >80%. >85%. >90%. >92%.

15. Which position improves oxygenation in unilateral pneumonia?. Bad lung down. Good lung down. Supine. Trendelenburg.

16. Atelectasis is defined as: Lung hyperinflation. Collapse of alveoli. Airway dilation. Fluid retention.

17. Which postoperative intervention prevents atelectasis?. Bed rest. Incentive spirometry. Fluid restriction. Sedation.

18. Early signs of hypoxemia include: Cyanosis. Restlessness and agitation. Bradycardia. Coma.

19. Which symptom represents late hypoxemia?. Tachycardia. Anxiety. Cyanosis. Mild restlessness.

20. Refractory hypoxemia refers to: Hypoxemia corrected by oxygen therapy. Hypoxemia resistant to oxygen therapy. Low oxygen during exercise. Oxygen toxicity.

21. According to Maslow prioritization in respiratory distress, the nurse should first: Provide smoking cessation education. Administer oxygen. Schedule follow-up visit. Provide dietary counseling.

22. A COPD patient with pneumonia has worsening oxygen levels and rising CO2. Which therapy may help avoid intubation?. Nasal cannula. BiPAP. Incentive spirometry. Oral steroids.

23. Which intervention helps prevent postoperative pneumonia?. Immobility. Incentive spirometry and early ambulation. Fluid restriction. Sedation.

24. Which discharge instruction is essential for pneumonia recovery?. Stop antibiotics when symptoms improve. Finish the entire antibiotic course. Avoid vaccines. Limit fluid intake.

25. Which symptom after discharge should prompt immediate medical evaluation?. Mild fatigue. Dyspnea at rest. Mild cough. Mild headache.