Respiratory NCLEX Questions

Extract:

Question 1 of 5

A patient received a nebulizer of Albuterol. What is a side effect of this medication?

Correct Answer: B

Rationale: Albuterol, a beta-agonist, commonly causes tachycardia as a side effect due to its stimulatory effects.

Question 2 of 5

The client is suspected of having a pulmonary embolus. Which diagnostic test suggests the presence of a pulmonary embolus and requires further investigation?

A. Plasma D-dimer test. B. Arterial blood gases. C. Chest x-ray (CXR). D. Magnetic resonance imaging (MRI).

Correct Answer: A

Rationale: Elevated D-dimer (
A) suggests clotting, warranting further PE investigation (e.g., CT). ABGs (
B) show hypoxia, CXR (
C) is nonspecific, and MRI (
D) is not standard.

Question 3 of 5

The nurse is presenting a class on chest tubes. Which statement best describes a tension pneumothorax?

A. A tension pneumothorax develops when an air-filled bleb on the surface of the lung ruptures. B. When a tension pneumothorax occurs, the air moves freely between the pleural space and the atmosphere. C. The injury allows air into the pleural space but prevents it from escaping from the pleural space. D. A tension pneumothorax results from a puncture of the pleura during a central line placement.

Correct Answer: C

Rationale: Tension pneumothorax traps air in the pleural space (
C), increasing pressure. Bleb rupture (
A) causes simple pneumothorax, free air movement (
B) is open pneumothorax, and central line (
D) is a cause, not definition.

Question 4 of 5

The client in the intensive care unit diagnosed with end-stage chronic obstructive pulmonary disease has a Swan-Ganz mean pulmonary artery pressure of 35 mm Hg. Which health-care provider order would the nurse question?

A. Administer intravenous fluids of normal saline at 125 mL/hr. B. Provide supplemental oxygen per nasal cannula at 2 L/min. C. Continuous telemetry monitoring with strips every four (4) hours. D. Administer a loop diuretic intravenously every six (6) hours.

Correct Answer: A

Rationale: A mean pulmonary artery pressure of 35 mm Hg indicates pulmonary hypertension, common in end-stage COPD. IV fluids at 125 mL/hr (
A) risk fluid overload and worsening right heart strain, so this order should be questioned. Oxygen (
B), telemetry (
C), and diuretics (
D) are appropriate to manage hypoxia, monitor cardiac status, and reduce fluid overload.

Question 5 of 5

You're developing a plan of care for a patient who is at risk for the development of a deep vein thrombosis after surgery. What nursing intervention below would the nurse NOT include in the patient's plan of care to prevent DVT formation?

A. The patient will eat all meals out of the bed daily by sitting in the bedside chair. B. The nurse will apply sequential compression devices (SCDs) per physician's order to the patient's lower extremities every night at bedtime. C. The nurse will administer per physician's order Enoxaparin in the subcutaneous tissue of the abdomen. D. The patient will ambulate daily.

Correct Answer: B

Rationale: Yes, the nurse would apply SCDs per MD order to help prevent DVTs, BUT they are to be applied and worn by the patient anytime they are in bed or sitting. The only time a patient should not wear the SCDs is when they're ambulating.
Therefore, the nurse would NOT just apply them at bedtime but during the day too.

Respiratory NCLEX Questions | Nurselytic

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