NCLEX Questions Respiratory

Extract:

Question 1 of 5

A client comes to the clinic with a bloody nose. Which instruction is most appropriate?

Correct Answer: A

Rationale: Sitting with the head tilted forward and grasping the soft part of the nose prevents aspiration of blood and effectively stops bleeding.

Question 2 of 5

Which datum requires immediate intervention by the nurse for the client diagnosed with asbestosis?

A. The client develops an S3 heart sound. B. The client has clubbing of the fingers. C. The client is fatigued in the afternoon. D. The client has basilar crackles in all lobes.

Correct Answer: A

Rationale: An S3 heart sound (
A) indicates heart failure, a serious complication in asbestosis due to pulmonary hypertension, requiring immediate intervention. Clubbing (
B) is a chronic finding, not acute. Fatigue (
C) is common but not urgent. Basilar crackles (
D) are expected in asbestosis and less critical than cardiac issues.

Question 3 of 5

The nurse and a licensed practical nurse (LPN) are caring for five (5) clients on a medical unit. Which clients would the nurse assign to the LPN? Select all that apply.

A. The 32-year-old female diagnosed with exercise-induced asthma who has a forced vital capacity of 1,000 mL. B. The 45-year-old male with adult-onset asthma who is complaining of difficulty completing all of the ADLs at one time. C. The 92-year-old client diagnosed with respiratory difficulty who is beginning to be confused and keeps climbing out of bed. D. The 6-year-old client diagnosed with intrinsic asthma who is scheduled for discharge and the mother needs teaching about the medications. E. The 20-year-old client diagnosed with asthma who has a pulse oximetry reading of 95% and wants to sleep all the time.

Correct Answer: B,E

Rationale: Stable asthma clients with ADL difficulty (
B) and normal SpO2 (E) are suitable for LPN care. Low FVC (
A), confusion (
C), and discharge teaching (
D) require RN assessment.

Question 4 of 5

Which intervention should the nurse implement first for the client diagnosed with a hemothorax who has had a right-sided chest tube for three (3) days and has no fluctuation (tidaling) in the water compartment?

A. Assess the client's bilateral lung sounds. B. Obtain an order for a STAT chest x-ray. C. Notify the health-care provider as soon as possible. D. Document the findings in the client's chart.

Correct Answer: A

Rationale: No tidaling may indicate resolution or obstruction; assessing lung sounds (
A) confirms status. CXR (
B), notification (
C), and documentation (
D) follow.

Question 5 of 5

Which statement is correct regarding mycobacterium tuberculosis?

A. This bacterium is an anaerobic type of bacteria. B. It is an alkali bacterium that stains bright red during an acidfast smear test. C. It is known as being an aerobic type of bacteria. D. It's an acid-fact bacterium that stains bright green during an acid-fast smear test.

Correct Answer: C

Rationale: Mycobacterium tuberculosis is an aerobic bacterium. It is acid-fast and stains red (not green) during an acid-fast smear due to its mycolic acid-rich cell wall. It is not anaerobic or alkali.

NCLEX Questions Respiratory | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN