ATI RN
NCLEX RN Questions on Respiratory System Questions
Question 1 of 5
The covering of the lung is called
Correct Answer: C
Rationale: The correct answer is C: Pleural membrane/pleura. The pleural membrane is a double-layered serous membrane that covers the lungs. The visceral pleura is attached to the lung surface, while the parietal pleura lines the chest cavity. This arrangement helps reduce friction and allows the lungs to expand during breathing. A: Pericardium covers the heart, not the lungs. B: Perichondrium covers cartilage, not the lungs. D: Peritoneum covers abdominal organs, not the lungs. Therefore, the correct choice is C because it specifically refers to the covering of the lungs.
Question 2 of 5
A nurse cares for a client who had a partial laryngectomy 10 days ago. The client states that all food tastes bland. How would the nurse respond?
Correct Answer: B
Rationale: Step 1: Acknowledge client's concern about bland taste. Step 2: Validate normalcy post-laryngectomy. Step 3: Assess client's food preferences for individualized care. Step 4: Encourage open communication for effective care plan. Step 5: Addressing the issue holistically promotes client-centered care. Summary: - A: Focuses on swallowing, not taste. - C: Addresses food consistency, not taste. - D: Important but not directly related to client's concern.
Question 3 of 5
A client is admitted with suspected pneumonia from the emergency department. The client went to the primary health care provider a few days ago" and shows the nurse the results of what the client calls an allergy test" as shown below: The reddened area is firm. What action by the nurse is best?
Correct Answer: C
Rationale: The correct answer is C: Prepare to begin administration of intravenous antibiotics. This is the best action because the client is suspected of having pneumonia, which is commonly treated with antibiotics. The nurse should prepare to start IV antibiotics to address the infection promptly. Choice A is incorrect because requesting records from the primary health care provider's office may delay treatment. Choice B is incorrect because airborne precautions are not necessary for suspected pneumonia. Choice D is incomplete and does not provide a clear action plan for addressing the client's condition.
Question 4 of 5
Which of the following should the nurse include in the teaching plan of a client with acute bronchitis?
Correct Answer: C
Rationale: The correct answer is C. Frequent handwashing prevents the spread of infection, which is crucial in managing acute bronchitis. A (not coughing frequently) is impractical and counterproductive. B (consuming adequate calories) supports general health but is not specific. D (semi-Fowler’s position) may aid breathing but is not a primary teaching point.
Question 5 of 5
Client history and assessment reveals all of these findings. Which finding supports the diagnosis of PE?
Correct Answer: A
Rationale: The correct answer to the question is option A) Client was recently in a motor vehicle accident, which supports the diagnosis of pulmonary embolism (PE). PE occurs when a blood clot travels to the lungs, often originating from deep vein thrombosis (DVT), which can be triggered by trauma like a motor vehicle accident. Option B) Client participating in an aerobic exercise program is not directly linked to PE. While physical inactivity can be a risk factor for DVT/PE, engaging in aerobic exercise is typically a protective factor. Option C) Client giving birth to a child one year ago is not a direct indicator of PE. While pregnancy and postpartum period increase the risk of blood clots, it's not as immediate as a recent motor vehicle accident. Option D) Client being on bedrest after a diagnostic procedure does not directly point to PE. Bedrest can be a preventive measure for various conditions post-procedure but does not specifically indicate PE. In an educational context, understanding the risk factors and clinical presentation of PE is crucial for nurses, especially for those preparing for the NCLEX-RN exam. Recognizing the significance of a recent trauma, like a motor vehicle accident, in the context of respiratory symptoms can aid in prompt diagnosis and intervention for PE, a potentially life-threatening condition.