Respiratory System NCLEX Questions

Extract:

Question 1 of 5

How should the nurse position the client while undergoing a thoracentesis?

Correct Answer: B

Rationale: Sitting upright with arms supported allows access to the pleural space and minimizes complications during thoracentesis.

Question 2 of 5

The nurse is developing a plan of care for a client diagnosed with laryngitis and identifies the client problem 'altered communication.' Which intervention should the nurse implement?

A. Instruct the client to drink a mixture of brandy and honey several times a day. B. Encourage the client to whisper instead of trying to speak at a normal level. C. Provide the client with a blank note pad for writing any communication. D. Explain that the client's aphonia may become a permanent condition.

Correct Answer: C

Rationale: A note pad (
C) facilitates communication during laryngitis-related voice loss. Brandy/honey (
A) is unproven, whispering (
B) strains vocal cords, and permanent aphonia (
D) is unlikely.

Question 3 of 5

The influenza vaccine is in short supply. Which group of clients would the public health nurse consider priority when administering the vaccine?

A. Elderly and chronically ill clients. B. Child-care workers and children less than four (4) years of age. C. Hospital chaplains and health-care workers. D. Schoolteachers and students living in a dormitory.

Correct Answer: A

Rationale: Elderly and chronically ill (
A) are at highest risk for flu complications, prioritizing them. Child-care workers/children (
B), chaplains/HCWs (
C), and teachers/students (
D) are secondary.

Question 4 of 5

The nurse is planning the activities for the client diagnosed with asbestosis. Which activity should the nurse schedule at 0900 if breakfast is served at 0800?

A. Assist with the client's bath and linen change. B. Administer an inhalation bronchodilator treatment. C. Provide the client with a one (1)-hour rest period. D. Have respiratory therapy perform chest physiotherapy.

Correct Answer: B

Rationale: Bronchodilator treatment (
B) at 0900 optimizes lung function early in the day for asbestosis patients, who have restrictive lung disease. Bathing (
A) is less urgent. A rest period (
C) may be needed later, not immediately post-breakfast. Chest physiotherapy (
D) is typically scheduled later to avoid postprandial discomfort.

Question 5 of 5

The nurse and an unlicensed assistive personnel (UAP) are caring for an elderly client diagnosed with emphysema. Which nursing tasks could be delegated to the UAP to improve gas exchange? Select all that apply.

A. Keep the head of the bed elevated. B. Encourage deep breathing exercises. C. Record pulse oximeter reading. D. Assess level of consciousness. E. Auscultate breath sounds.

Correct Answer: A,C

Rationale: UAPs can keep the head of the bed elevated (1) to improve lung expansion and record pulse oximetry (3), a non-invasive task. Encouraging deep breathing (2) requires teaching, a nursing role. Assessing consciousness (4) and auscultating breath sounds (5) are assessment tasks reserved for nurses.

Respiratory System NCLEX Questions | Nurselytic

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