NCLEX Questions Respiratory | Nurselytic

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NCLEX Questions Respiratory Questions

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Question 1 of 5

A patient is ordered by the physician to take Pulmicort and Spiriva via inhaler. How should the patient take this medication?

Correct Answer: B

Rationale: Spiriva (anticholinergic) should be used first to open airways, followed by Pulmicort (corticosteroid) 5 minutes later to reduce inflammation. Every 2 hours is incorrect for maintenance drugs, and order matters (C,
D).

Question 2 of 5

Which diagnostic test should the nurse anticipate the health-care provider ordering to rule out the diagnosis of asthma in clients diagnosed with chronic obstructive pulmonary disease (COPD)?

Correct Answer: D

Rationale: A bronchodilator reversibility test differentiates asthma from COPD by assessing whether airway obstruction is reversible. In asthma, lung function (e.g., FEV1) improves significantly post-bronchodilator, while COPD shows minimal improvement. Bronchoscopy (
A) is invasive and not specific for this differentiation. Immunoglobulin E (
B) is relevant for allergies, not distinguishing asthma from COPD. Arterial blood gases (
C) assess oxygenation but do not differentiate these conditions.

Question 3 of 5

Which nursing action is most appropriate immediately after the chest tube is removed from the client?

Correct Answer: A

Rationale: Applying a sterile dressing taped securely prevents air entry into the pleural space and promotes healing post-chest tube removal.

Question 4 of 5

While the nurse is suctioning a tracheostomy tube, the client starts to cough. What is the best action for the nurse to take?

Correct Answer: C

Rationale: Removing the suction quickly allows the client to cough out mucus naturally, preventing irritation or trauma.

Question 5 of 5

The nurse is assessing the client diagnosed with COPD. Which data require immediate intervention by the nurse?

Correct Answer: B

Rationale: High oxygen (8 LPM,
B) risks CO2 retention in COPD, requiring immediate adjustment (2–4 LPM). Sputum (
A), accessory muscles (
C), and barrel chest (
D) are expected but less urgent.

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