Respiratory NCLEX Questions | Nurselytic

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Respiratory NCLEX Questions Questions

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Question 1 of 5

The 56-year-old client diagnosed with tuberculosis (Tb) is being discharged. Which statement made by the client indicates an understanding of the discharge instructions?

Correct Answer: B

Rationale: TB treatment requires months of antibiotics (
B) for cure. Three weeks (
A) is too short, antibiotics don’t eliminate transmission risk immediately (
C), and skin tests (
D) monitor exposure, not cure.

Question 2 of 5

The nurse is caring for a client on a ventilator and the alarm goes off. Which action should the nurse implement first?

Correct Answer: B

Rationale: Checking the ventilator (
B) is the first action to identify the alarm’s cause (e.g., disconnection, obstruction), per the ABCs. Notifying the therapist (
A) delays intervention. Elevating the bed (
C) is irrelevant. Assessing oxygen saturation (
D) is secondary to addressing the ventilator issue.

Question 3 of 5

Which arterial blood gas (ABG) results support the diagnosis of acute respiratory distress syndrome (ARDS) after the client has received O2 at 10 LPM?

Correct Answer: C

Rationale: ARDS is characterized by severe hypoxemia despite high oxygen delivery. Pao2 59 (
C) despite 10 LPM oxygen indicates refractory hypoxia, a hallmark of ARDS. Normal Pao2 (94 in A and
D) contradicts ARDS. Pao2 82 (
B) is low but not as severe as 59, making C the best indicator of ARDS.

Question 4 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 5 of 5

The client admitted for recurrent aspiration pneumonia is at risk for bronchiectasis. Which intervention should the nurse anticipate the health-care provider to order?

Correct Answer: D

Rationale: Recurrent aspiration pneumonia predisposes to bronchiectasis due to chronic airway damage. Turning, coughing, and deep breathing (
D) prevent secretion stasis and further infections. Antibiotics (
A) treat active infection, not prevention. TPN (
B) is for malnutrition, not directly related. Dietary restrictions (
C) are irrelevant.

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