NCLEX-PN
NCLEX Questions Respiratory Questions
Extract:
Question 1 of 5
An alarm beeps notifying you that one of your patient's oxygen saturation is reading $89 \%$. You arrive to the patient's room, and see the patient comfortably resting in bed watching television. The patient is already on $2 \mathrm{~L}$ of oxygen via nasal cannula. The patient is admitted for COPD exacerbation. Your next nursing action would be:
Correct Answer: A
Rationale: In COPD, oxygen saturation of 88-92% is acceptable to avoid suppressing the hypoxic drive. Since the patient is comfortable, continue monitoring . Increasing oxygen or notifying the doctor is unnecessary unless symptoms worsen.
Question 2 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.
Question 3 of 5
The client is getting out of bed and becomes very anxious and has a feeling of impending doom. The nurse thinks the client may be experiencing a pulmonary embolism. Which action should the nurse implement first?
Correct Answer: B
Rationale: High Fowler’s position (
B) improves breathing in suspected PE, a priority. Oxygen (
A), SpO2 (
C), and lung sounds (
D) follow to support and assess.
Question 4 of 5
Which medication below blocks the function of Leukotriene for the treatment of asthma?
Correct Answer: D
Rationale: Montelukast is a leukotriene receptor antagonist that blocks leukotrienes, reducing asthma symptoms.
Question 5 of 5
When the client asks why the physician chose this particular drug to treat the pneumonia, which response by the nurse is best?
Correct Answer: A
Rationale: Penicillin is chosen based on the sensitivity report, indicating that the pneumococcal bacteria are susceptible to it.