NCLEX-PN
Respiratory System NCLEX Questions Questions
Extract:
Question 1 of 5
Before suctioning, the nurse attaches a pulse oximeter to the client's finger. Which nursing actions are appropriate at this time? Select all that apply.
Correct Answer: A, B, C, F
Rationale: Removing nail polish, positioning the sensor correctly, connecting the cable, and relocating the sensor periodically ensure accurate pulse oximetry readings.
Question 2 of 5
A patient is ordered at 1400 to take Theophylline. You're assessing the patient's morning lab results and note that the Theophylline level drawn this morning reads: $15 \mathrm{mcg} / \mathrm{mL}$. You're next nursing action is to?
Correct Answer: A
Rationale: A Theophylline level of 15 mcg/mL is within the therapeutic range (10-20 mcg/mL), so the dose should be administered as ordered . No further action is needed.
Question 3 of 5
The client is three (3) days post-partial laryngectomy. Which type of nutrition should the nurse offer the client?
Correct Answer: D
Rationale: Clear liquids (
D) are safest 3 days post-laryngectomy to prevent aspiration. TPN (
A), soft diet (
B), and partial PN (
C) are premature or unnecessary.
Question 4 of 5
Which statement indicates the client with a total laryngectomy requires more teaching concerning the care of the tracheostomy?
Correct Answer: D
Rationale: Using an electric larynx (
D) is related to speech, not tracheostomy care, indicating a misunderstanding of tracheostomy management. Avoiding hair spray/powders (
A), showering (
B), and daily stoma cleaning (
C) are correct tracheostomy care practices.
Question 5 of 5
The nurse is planning the care of a client diagnosed with asthma and has written a problem of 'anxiety.' Which nursing intervention should be implemented?
Correct Answer: A
Rationale: Remaining with the client (
A) reduces anxiety through presence and reassurance. Notification (
B), anxiolytics (
C), and fluids (
D) are secondary or unrelated.