ATI RN
Respiratory System NCLEX Questions Questions
Question 1 of 5
A client is receiving oxygen at 4 L per nasal cannula. What comfort measure may the nurse delegate to assistive personnel (AP)?
Correct Answer: A
Rationale: The correct answer is A because applying water-soluble ointment to nares and lips helps prevent skin breakdown and discomfort caused by the oxygen flow. This task is within the scope of practice for assistive personnel (AP) as it does not require specialized medical knowledge or training. Choice B is incorrect because adjusting oxygen flow should only be done by licensed healthcare providers based on the client's prescribed oxygen therapy. Choice C is incorrect as replacing oxygen tubing requires knowledge of oxygen delivery systems and potential risks associated with incorrect tubing selection. Choice D is incorrect because turning the client every 2 hours is a nursing intervention related to preventing pressure ulcers, not specifically related to oxygen therapy comfort measures.
Question 2 of 5
Which of the following nursing activities is most important when a client comes back from a respiratory test if they have respiratory problems?
Correct Answer: B
Rationale: The correct answer is B. Assessing the airway is critical immediately after a respiratory test, especially if the client has pre-existing respiratory issues. A (rest) is secondary until stability is confirmed. C and D involve education, which is important but not urgent compared to ensuring airway patency.
Question 3 of 5
You are supervising a student nurse who is performing tracheostomy care for a client. For which action should you intervene?
Correct Answer: A
Rationale: The correct answer is A. Suctioning prior to tracheostomy care is incorrect because it increases the risk of introducing infection. Removing old dressings and cleaning secretions (B), removing and cleaning the inner cannula (C), and replacing the inner cannula and cleaning the stoma site (D) are standard steps in tracheostomy care.
Question 4 of 5
Following an asthmatic attack, a mother asks the physician how to prevent another asthmatic attack. The physician should:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
Two days after undergoing pelvic surgery, a patient develops marked dyspnea and anxiety. What is the first action that the nurse should take?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.