NCLEX-PN
Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
Because of the client's pleural effusion and advanced lung disease, what would the nurse expect to hear when assessing the breath sounds?
Correct Answer: D
Rationale: Pleural effusion causes decreased breath sounds over the affected area due to fluid accumulation compressing the lung.
Question 2 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 3 of 5
Your patient, who is receiving Pyrazinamide, report stiffness and extreme pain in the right big toe. The site is extremely red, swollen, and warm. You notify the physician and as the nurse you anticipated the doctor will order?
Correct Answer: C
Rationale: This medication can increase uric acid levels which can lead to gout. The patient's signs and symptoms are classic findings in a gout attack.
Question 4 of 5
Which statement by the client best indicates that the client understands the rationale for the direct laryngoscopy?
Correct Answer: C
Rationale: Persistent hoarseness can be a symptom of laryngeal cancer, and direct laryngoscopy is used to visualize the larynx for abnormalities like tumors.
Question 5 of 5
The health-care provider ordered STAT arterial blood gases (ABGs) for the client diagnosed with ARDS. The ABG results are pH 7.38, Pao2 92, Paco2 38, Hco3 24. Which action should the nurse implement?
Correct Answer: A
Rationale: Normal ABGs (
A) in ARDS indicate stability, requiring monitoring. Deep breathing (
B), bicarbonate (
C), and notification (
D) are unnecessary.