NCLEX-PN
Respiratory System NCLEX Questions Questions
Extract:
Question 1 of 5
During suctioning of a tracheostomy tube, the catheter appears to attach to the tracheal wall and creates a pulling sensation. What is the best action for the nurse to take?
Correct Answer: A
Rationale: Releasing suction by opening the vent prevents trauma to the tracheal mucosa when the catheter adheres to the wall.
Question 2 of 5
Which nursing intervention is most important in response to the client's physical symptoms at this time?
Correct Answer: A
Rationale: Administering oxygen addresses hypoxia, a critical concern in pulmonary embolism due to impaired gas exchange.
Question 3 of 5
Which side effect can the nurse expect when the client receives aminophylline (Truphylline)?
Correct Answer: D
Rationale: Aminophylline, a xanthine derivative, commonly causes tachycardia as a side effect due to its stimulatory effects.
Question 4 of 5
Select all the correct options that represent the pathophysiology of an asthma attack.
Correct Answer: B,C
Rationale: Asthma involves inflammation of the airway mucosa and excessive mucus production by goblet cells. Smooth muscle constriction occurs in bronchioles, not alveoli, and hyperventilation typically leads to respiratory acidosis due to CO2 retention.
Question 5 of 5
Which assessment finding indicates that the client has most likely developed pleurisy as a result of the pneumonia?
Correct Answer: B
Rationale: Pleurisy causes sharp chest pain during breathing due to inflammation of the pleural membranes.