NCLEX-PN
NCLEX Respiratory Questions Questions
Extract:
Question 1 of 5
A client is admitted with a diagnosis of cancer of the larynx. Which statement made by the client is most likely related to the cause of his illness?
Correct Answer: B
Rationale: Cigarette smoking is the greatest risk factor for laryngeal cancer due to chronic exposure to carcinogens.
Question 2 of 5
The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Brain metastasis impairs cognition, making driving unsafe (
C). Advance directives (
A), chemotherapy (
B), and proxy decisions (
D) are secondary or inappropriate.
Question 3 of 5
You're caring for a patient with pneumonia. The patient has just started treatment for pneumonia and is still experiencing hypoxemia. You know that respiratory acidosis is very common with patients with pneumonia. Which arterial blood gases below represent respiratory acidosis that is NOT compensated?
Correct Answer: A
Rationale: Respiratory acidosis is characterized by low pH (<7.35) and high PaCO2 (>45). Option A (pH 7.29, PaCO2 55, HCO3 23) shows uncompensated respiratory acidosis, as HCO3 is normal, indicating no renal compensation. Other options show normal pH, respiratory alkalosis, or invalid data.
Question 4 of 5
The nurse is caring for a client diagnosed with a pneumothorax who had chest tubes inserted four (4) hours ago. There is no fluctuating (tidaling) in the water-seal compartment of the closed chest drainage system. Which action should the nurse implement first?
Correct Answer: B
Rationale: No tidaling in the water-seal compartment suggests a blockage or kink. Checking for kinks (
B) is the first, non-invasive action to restore function. Milking (
A) is avoided due to pressure risks. Coughing (
C) is ineffective if tubing is blocked. Assessing the site (
D) is secondary.
Question 5 of 5
Which referral is most appropriate for a client diagnosed with end-stage COPD?
Correct Answer: C
Rationale: The American Lung Association (
C) supports COPD patients with resources. Asthma Foundation (
A), Cancer Society (
B), and Heart Association (
D) are less relevant.