NCLEX-PN
Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
A client who had a laryngectomy is nearly ready for discharge. Which instruction is most appropriate for the nurse to give?
Correct Answer: A
Rationale: A buddy is essential during swimming or boating to ensure safety, as water entering the stoma can cause aspiration.
Question 2 of 5
To prevent the client with a head cold from developing a secondary ear infection, which recommendation is most appropriate?
Correct Answer: B
Rationale: Blowing the nose gently prevents excessive pressure in the Eustachian tubes, which can lead to fluid buildup and secondary ear infections.
Question 3 of 5
Which arterial blood gas (ABG) results support the diagnosis of acute respiratory distress syndrome (ARDS) after the client has received O2 at 10 LPM?
Correct Answer: C
Rationale: ARDS is characterized by severe hypoxemia despite high oxygen delivery. Pao2 59 (
C) despite 10 LPM oxygen indicates refractory hypoxia, a hallmark of ARDS. Normal Pao2 (94 in A and
D) contradicts ARDS. Pao2 82 (
B) is low but not as severe as 59, making C the best indicator of ARDS.
Question 4 of 5
The client diagnosed with tonsillitis is scheduled to have surgery in the morning. Which assessment data should the nurse notify the health-care provider about prior to surgery?
Correct Answer: B
Rationale: Fever (100.2°F) and cough (
B) suggest infection, a surgical risk requiring HCP notification. Hb/Hct (
A) are near normal, WBCs in urine (
C) are insignificant, and INR 1 (
D) is normal.
Question 5 of 5
When administering oxygen to the client through a partial rebreathing mask, which observation is most important for the nurse to report to the respiratory therapy department?
Correct Answer: B
Rationale: A collapsing bag during inspiration indicates inadequate oxygen flow, which must be reported to ensure proper oxygen delivery.