NCLEX CRUSADE ACADEMY TEST - 4 RESPIRATORY DIAGNOSTIC

1. Which diagnostic procedure allows direct visualization of the airway using a flexible fiber optic scope?. Thoracentesis. Bronchoscopy. Laryngoscopy. Pleurodesis.

2. Thoracentesis primarily targets which anatomical space?. Mediastinal space. Peritoneal cavity. Pleural space. Alveolar sac.

3. Which is a major purpose of bronchoscopy?. Remove pleural fluid. Visualize and biopsy airway lesions. Measure lung capacity. Drain pericardial fluid.

4. Which of the following may be removed during bronchoscopy?. Pleural fluid. Foreign bodies. Pericardial fluid. Peritoneal fluid.

5. A key pre procedure assessment before bronchoscopy is checking for allergies to: Penicillin only. Latex and anesthetics. Antihypertensives. Insulin.

6. What position is typically used during bronchoscopy preparation?. Supine with neck hyperextension. Trendelenburg. Prone. Sims position.

7. Before bronchoscopy, patients are commonly placed on NPO status to: Prevent dehydration. Improve lung expansion. Prevent aspiration. Reduce pain.

8. After bronchoscopy, the nurse should maintain NPO status until: Oxygen saturation stabilizes. The gag reflex returns. The patient voids. Lung sounds normalize.

9. Which symptom after bronchoscopy is expected?. Severe dyspnea. Minor throat discomfort. Cardiac arrhythmias. Severe hemoptysis.

10. Which post bronchoscopy finding requires immediate physician notification?. Mild sore throat. Trace blood in sputum. Excessive hemoptysis. Mild cough.

11. Which complication may occur after bronchoscopy and requires emergency attention?. Mild cough. Pneumothorax. Temporary hoarseness. Throat dryness.

12. Thoracentesis is commonly performed to: Remove fluid or air from the pleural space. Measure lung capacity. Inspect the trachea. Remove airway tumors.

13. During thoracentesis, the needle is commonly inserted between which ribs?. Ribs 23. Ribs 45. Ribs 67. Ribs 89.

14. Which imaging study is required before thoracentesis to localize fluid?. MRI. CT scan. Chest X ray. Ultrasound only.

15. Which infectionIprevention principle is critical during thoracentesis?. Isolation precautions. Sterile technique. Handwashing only. Negative pressure room.

16. Which patient position is commonly used for thoracentesis?. Sitting and leaning forward over a table. Supine flat. Prone. Trendelenburg.

17. If the patient cannot sit upright for thoracentesis, which alternative position may be used?. High Fowler's. Sims. Knee chest. Reverse Trendelenburg.

18. What is the nurse's first action immediately after thoracentesis?. Apply pressure to the puncture site. Give antibiotics. Start oxygen therapy. Begin ambulation.

19. Which respiratory finding after thoracentesis may indicate pneumothorax?. Improved breath sounds. Diminished breath sounds. Normal breathing. Slow respirations.

20. Which of the following is part of postIthoracentesis monitoring?. Blood glucose. Cardiac enzymes. Respiratory assessment. Skin biopsy.