ATI RN
NCLEX Questions for Respiratory System Questions
Question 1 of 5
Adam's Apple corresponds to
Correct Answer: C
Rationale: The Adam's Apple corresponds to the larynx. The larynx houses the vocal cords and plays a key role in producing sound. The prominent cartilage in the front of the larynx is what forms the Adam's Apple. The epiglottis (A) covers the trachea during swallowing to prevent food from entering the airway. The trachea (B) is the windpipe that carries air to and from the lungs. The thyroid (D) is a gland located in the neck that produces hormones regulating metabolism. Therefore, the correct answer is C as it directly relates to the anatomical structure of the Adam's Apple.
Question 2 of 5
A nurse is caring for a client who received benzocaine spray prior to a recent bronchoscopy. The client presents with continuous cyanosis even with oxygen therapy. What action would the nurse take next?
Correct Answer: B
Rationale: The correct answer is B: Notify the Rapid Response Team. The client's continuous cyanosis despite oxygen therapy indicates a serious respiratory distress requiring immediate intervention. The Rapid Response Team is equipped to assess and manage such critical situations promptly. Administering albuterol (A) is not appropriate without further assessment. Assessing peripheral pulses (C) may not address the underlying cause of cyanosis. Obtaining blood and sputum cultures (D) is important for infection control but not the priority in this acute situation.
Question 3 of 5
A nurse cares for a client after radiation therapy for neck cancer. The client reports extreme dry mouth. What action by the nurse is most appropriate?
Correct Answer: C
Rationale: The correct answer is C. The nurse should explain that xerostomia (dry mouth) may be a permanent side effect of radiation therapy for neck cancer. This is the most appropriate action as it educates the client about the potential long-term effects of the treatment. Option A is incorrect as lidocaine mouthwash may not address the underlying issue of dry mouth. Option B is incorrect as administering IV fluid boluses every 2 hours is not indicated for dry mouth. Option D is incorrect as assessing the client's neck for redness and swelling does not directly address the client's reported dry mouth.
Question 4 of 5
A client is being discharged on long-term therapy for tuberculosis (TB). What referral by the nurse is most appropriate?
Correct Answer: D
Rationale: The correct answer is D: Visiting nurses for directly observed therapy. This option ensures proper administration of TB medications by healthcare professionals. Visiting nurses can monitor medication adherence, side effects, and provide education. Referring to a social worker for meals (A) is not directly related to TB treatment. Occupational therapy (B) and physical therapy (C) are not typically indicated for TB treatment.
Question 5 of 5
Which of the following is an initial sign or symptom of acute bronchitis?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.