NCLEX-PN
Respiratory System NCLEX Questions Questions
Question 1 of 5
Which collaborative intervention should the nurse implement when caring for the client diagnosed with bronchiectasis?
Correct Answer: C
Rationale: Bronchodilators with postural drainage (
C) is a collaborative intervention for bronchiectasis to open airways and clear secretions, involving nursing and respiratory therapy. Tracheostomy (
A) and lobectomy (
B) are not standard. Chest tubes (
D) are for pneumothorax, not bronchiectasis.
Question 2 of 5
Which isolation procedure should be instituted for the client admitted to rule out severe acute respiratory syndrome (SARS)?
Correct Answer: A
Rationale: SARS is transmitted via respiratory droplets and possibly aerosols, requiring airborne isolation (
A) with a negative pressure room and N95 masks. Droplet isolation (
B) is insufficient for potential aerosol transmission. Reverse isolation (
C) protects immunocompromised patients, not applicable here. Strict isolation (
D) is not a standard term for SARS precautions.
Question 3 of 5
Which action should the nurse implement for the client with a hemothorax who has a right-sided chest tube with excessive bubbling in the water-seal compartment?
Correct Answer: A
Rationale: Excessive bubbling suggests an air leak or high suction; checking suction (
A) is first. Clots (
B), milking (
C), and coughing (
D) are secondary or inappropriate.
Question 4 of 5
How should the nurse position the client while undergoing a thoracentesis?
Correct Answer: B
Rationale: Sitting upright with arms supported allows access to the pleural space and minimizes complications during thoracentesis.
Question 5 of 5
The nurse identified the client problem 'decreased cardiac output' for the client diagnosed with a pulmonary embolus. Which intervention should be included in the plan of care?
Correct Answer: A
Rationale: ABGs (
A) monitor oxygenation, supporting cardiac output in PE. Skin color (
B) is secondary, bleeding (
C) relates to anticoagulation, and Trendelenburg (
D) is contraindicated.