Respiratory NCLEX Questions | Nurselytic

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Respiratory NCLEX Questions Questions

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Question 1 of 5

An adult is to have a tracheostomy performed. What is the nursing priority?

Correct Answer: B

Rationale: Establishing a means of communication is the priority, as the client will lose the ability to speak post-tracheostomy.

Question 2 of 5

The nurse is caring for a client on a ventilator and the alarm goes off. Which action should the nurse implement first?

Correct Answer: B

Rationale: Checking the ventilator (
B) is the first action to identify the alarm’s cause (e.g., disconnection, obstruction), per the ABCs. Notifying the therapist (
A) delays intervention. Elevating the bed (
C) is irrelevant. Assessing oxygen saturation (
D) is secondary to addressing the ventilator issue.

Question 3 of 5

If the client has normal cardiovascular and renal function, what is an appropriate goal for oral intake in the next 24-hour period?

Correct Answer: D

Rationale: For a client with fever and influenza, 3,000 mL of fluid intake helps prevent dehydration, assuming normal cardiovascular and renal function.

Question 4 of 5

You are assessing your newly admitted patients who are all presenting with atypical signs and symptoms of a possible lung infection. The physician suspects tuberculosis. So, therefore, the patients are being monitored and tested for the disease. Select all the risk factors below that increases a patient's risk for developing tuberculosis:

Correct Answer: A,C,D,E,F

Rationale: Risk factors for tuberculosis include conditions or environments that weaken the immune system or increase exposure: diabetes , long-term care residency , incarceration , IV drug use , and HIV . Liver failure is not a direct risk factor, and being a U.S. resident is not specific enough.

Question 5 of 5

Where on the client should the nurse position the sensor of the pulse oximeter to obtain an accurate measurement?

Correct Answer: A

Rationale: The finger is the most common and reliable site for pulse oximetry, providing accurate oxygenation readings.

Similar Questions

Which intervention should the emergency department nurse implement first for the client admitted for an acute asthma attack?
A client who had a laryngectomy is nearly ready for discharge. Which instruction is most appropriate for the nurse to give?
A patient is admitted with pneumonia. Sputum cultures show that the patient is infected with a gram positive bacterium. The patient is allergic to Penicillin. Which medication would the patient most likely be prescribed?
The nurse observes the client sitting on the side of the bed with the arms propped on the over-bed table. The chest is barrel shaped and the client is breathing though lips spaced close together and is exhaling slowly. Which concept is priority for this client?
The home health-care nurse is talking on the telephone to a male client diagnosed with hypertension and hears the client sneezing. The client tells the nurse he has been blowing his nose frequently. Which question should the nurse ask the client?

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