NCLEX-PN
NCLEX Respiratory Questions Questions
Extract:
Question 1 of 5
A patient with asthma is prescribed to take inhaled Salmeterol and Fluticasone for long-term management of asthma. You observe the patient taking these medications. Which option below best describes the correct order in how to take these medications?
Correct Answer: A
Rationale: Salmeterol, a long-acting bronchodilator, should be inhaled first to open the airways, followed by Fluticasone, a corticosteroid, after a 5-minute wait to ensure optimal delivery and reduce inflammation.
Question 2 of 5
The client is admitted to the emergency department with chest trauma. Which signs/symptoms indicate to the nurse the diagnosis of pneumothorax?
Correct Answer: B
Rationale: Pneumothorax causes unequal lung expansion and dyspnea (
B) from collapsed lung. Bronchovesicular sounds/bradypnea (
A), frothy sputum (
C), and barrel chest (
D) suggest other conditions.
Question 3 of 5
The nurse is preparing the client for a polysomnography to confirm sleep apnea. Which preprocedure instruction should the nurse include?
Correct Answer: C
Rationale: Polysomnography involves overnight monitoring in a sleep lab (
C) to assess sleep patterns and confirm sleep apnea. Fasting (
A) is unnecessary. Sedatives (
B) are avoided to ensure natural sleep. Home monitors (
D) are used for different tests, not polysomnography.
Question 4 of 5
The client is diagnosed with mild intermittent asthma. Which medication should the nurse discuss with the client?
Correct Answer: B
Rationale: Mild intermittent asthma requires a rescue inhaler (
B) (e.g., albuterol) for PRN use. Daily corticosteroids (
A), systemic steroids (
C), and leukotrienes (
D) are for persistent asthma.
Question 5 of 5
When caring for a client with a flail chest, which nursing action is most appropriate?
Correct Answer: C
Rationale: Applying a chest binder stabilizes the flail chest, reducing paradoxical chest movement and improving ventilation.