ATI RN
Respiratory System NCLEX Practice Questions Questions
Question 1 of 5
A nurse cares for a client who has packing inserted for posterior nasal bleeding. What action would the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Assess the client's airway. This is the priority action as airway patency is always the top priority in any emergency situation. In this case, posterior nasal bleeding can lead to blood flow into the throat, potentially obstructing the airway. Ensuring the client's airway is clear and maintaining adequate oxygenation is crucial for their safety. Choice A (Assess the client's pain level) is not the priority when there is a potential risk to the airway. Choice B (Keep the client's head elevated) may be done after confirming airway patency. Choice C (Teach the client about the causes of nasal bleeding) is important but not the immediate priority in this situation.
Question 2 of 5
Which of the following does the examiner note when auscultating the lungs of a client with pleural effusion?
Correct Answer: D
Rationale: The correct answer is D. Fluid in the pleural space muffles breath sounds and may be noted during auscultation. A (pronounced breath sounds) is incorrect as they are diminished in pleural effusion. B (friction rub) occurs in pleuritis, not effusion. C (expiratory wheezes) indicates airway obstruction, not fluid accumulation.
Question 3 of 5
As the nurse responsible for this client's care, you anticipate which physician's orders?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A patient with pneumonia has a nursing diagnosis of ineffective airway clearance related to pain, fatigue, and thick secretions. What is an expected outcome for this patient?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
In planning care for the patient with bronchiectasis, which nursing intervention should the nurse include?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.