Respiratory System NCLEX Questions

Extract:

Question 1 of 5

After a chest tube has been inserted to treat the client's pneumothorax, which finding indicates that the chest tube is functioning correctly?

Correct Answer: D

Rationale: Relief of chest pain indicates the chest tube is effectively re-expanding the lung and resolving the pneumothorax.

Question 2 of 5

Which intervention should the nurse implement for a male client who has had a left-sided chest tube for six (6) hours and who refuses to take deep breaths because of the pain?

A. Medicate the client and have the client take deep breaths. B. Encourage the client to take shallow breaths to help with the pain. C. Explain deep breaths do not have to be taken at this time. D. Tell the client if he doesn't take deep breaths, he could die.

Correct Answer: A

Rationale: Pain medication followed by deep breathing (
A) prevents atelectasis. Shallow breaths (
B), delaying (
C), and fear tactics (
D) are inappropriate.

Question 3 of 5

A client asks the nurse why inspiration through the nose is preferable to inspiring through the mouth. What is the best response?

A. It produces greater blood oxygen levels. B. It is easier to breathe through the nose. C. The nares humidify, warm, and filter the air. D. Mouth breathing dilutes the air and reduces the amount of air entering the lungs.

Correct Answer: C

Rationale: The nares humidify, warm, and filter air, improving its quality for respiration.

Question 4 of 5

Which of the following statements are incorrect about discharge teaching that you would provide to a patient with COPD? Select-all-that-apply:

A. It is best to eat three large meals a day that are relatively low in calories.' B. Avoid going outside during extremely hot or cold days.' C. It is important to receive the Pneumovax vaccine annually.' D. Smoking cessation can help improve your symptoms.'

Correct Answer: A,C

Rationale: Eating small, frequent meals (not three large meals,
A) prevents diaphragm compression, and Pneumovax is not annual but given once or as per guidelines. Avoiding extreme weather and smoking cessation are correct.

Question 5 of 5

The nurse is preparing to administer medications to the following clients. Which medication should the nurse question administering?

A. The oral coagulant warfarin (Coumadin) to the client with an INR of 1.9. B. Multiple Choice insulin to a client with a blood glucose level of 218 mg/dL. C. Hang the heparin bag on a client with a PT/PTT of 12.9/98. D. A calcium channel blocker to the client with a BP of 112/82.

Correct Answer: C

Rationale: PTT 98 (
C) is supratherapeutic for heparin, risking bleeding, so question administration. INR 1.9 (
A) is subtherapeutic, insulin (
B) is appropriate, and CCB (
D) is reasonable.

Respiratory System NCLEX Questions | Nurselytic

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