NCLEX CRUSADE ACADEMY TEST - 4 RESPIRATORY NEXT-GEN CASE STUDIES

1. In NextIGen NCLEX clinical judgment questions, what type of findings should be highlighted first?. Expected findings for age. Chronic baseline conditions. Unexpected or acute changes in patient status. Normal lab results.

2. According to NCLEX prioritization strategy, which framework should guide clinical decisions first?. Pain scale. Maslow and ABCs (Airway, Breathing, Circulation). Medication schedule. Patient preference.

3. A postoperative patient develops fever, confusion, productive cough, and diminished breath sounds. Which diagnosis is most likely?. Pulmonary embolism. Pneumonia. Asthma. COPD.

4. Which symptom most strongly differentiates pneumonia from pulmonary embolism?. Dyspnea. Confusion. Fever. Recent surgery.

5. Which assessment finding is typical in pneumonia?. Clear sputum. Purulent sputum. No cough. Bradycardia.

6. A patient with pneumonia develops significant pleural effusion. What is an indicated intervention?. Strict bed rest. Thoracentesis. Fluid restriction. Immediate discharge.

7. Which oxygen saturation level is typically targeted in respiratory compromise?. 85%. 88%. 92%. 100%.

8. Which therapy helps prevent atelectasis in pneumonia patients?. Incentive spirometry. Sedation. Fluid restriction. Bed rest.

9. A patient suddenly develops tachycardia, severe dyspnea, and chest pain. Which complication should the nurse suspect?. Pneumonia. Pulmonary embolism. Asthma attack. Bronchitis.

10. In pneumothorax management, the priority intervention is: Intubation. Trendelenburg position. Prepare for chest tube insertion. Fluid restriction.

11. In a chest tube drainage system, intermittent bubbling usually indicates: System malfunction. Air leaving the pleural space. Lung collapse. Fluid overload.

12. Continuous vigorous bubbling in the chest tube system suggests: Lung expansion. Air leak. Normal function. Blockage.

13. What does tidaling in the water seal chamber indicate?. System obstruction. Water evaporation. Normal respiratory pressure changes. Infection.

14. If tidaling suddenly stops, the nurse should suspect: Lung re expansion or tubing blockage. Fluid overload. Increased oxygen levels. Hypertension.

15. The chest drainage system should be kept: Above the chest. Below chest level. On the bed. Above the patient.

16. In cystic fibrosis, thick secretions primarily cause: Increased oxygen transport. Airway obstruction and infection. Lung overexpansion. Decreased mucus production.

17. Cystic fibrosis is inherited through which genetic pattern?. Autosomal dominant. Autosomal recessive. X linked dominant. Mitochondrial.

18. In airway clearance therapy for cystic fibrosis, the first intervention should be: Chest physiotherapy. Bronchodilator. Antibiotic. Suctioning.

19. Hypertonic saline in cystic fibrosis therapy is used to: Increase oxygen levels. Thin respiratory secretions. Reduce inflammation. Lower blood pressure.

20. Chest physiotherapy in cystic fibrosis helps: Reduce fever. Mobilize mucus secretions. Increase blood pressure. Reduce coughing.

21. A patient with sudden dyspnea, chest pain, and unilateral leg swelling likely has: Pneumonia. Pulmonary embolism. COPD. Asthma.

22. The primary medication used for pulmonary embolism is: Insulin. Heparin. Antibiotics. Bronchodilators.

23. Which laboratory test is monitored for heparin therapy?. PT/INR. Platelets. PTT. Hemoglobin.

24. Which medication reverses heparin overdose?. Vitamin K. Protamine sulfate. Naloxone. Atropine.

25. Which sign indicates successful stabilization after respiratory treatment?. Increasing heart rate. Decreasing oxygen saturation. Improved oxygen saturation and decreased respiratory rate. Persistent chest pain.