NCLEX-PN
Respiratory System NCLEX Questions Questions
Extract:
Question 1 of 5
The alert and oriented client is diagnosed with a spontaneous pneumothorax, and the healthcare provider is preparing to insert a left-sided chest tube. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Informed consent (
B) is required before invasive procedures, a priority. Gathering supplies (
A), positioning (
C), and discussion (
D) follow.
Question 2 of 5
The nurse suspects the client may be developing ARDS. Which assessment data confirm the diagnosis of ARDS?
Correct Answer: A
Rationale: Refractory hypoxemia (
A) despite high oxygen confirms ARDS. Dyspnea/tachycardia (
B) are nonspecific, clear sounds/95% SpO2 (
C) are normal, and JVD/sputum (
D) suggest heart failure.
Question 3 of 5
The client with ARDS is on a mechanical ventilator. Which intervention should be included in the nursing care plan addressing the endotracheal tube (ET) care?
Correct Answer: D
Rationale: Securing the ET tube (
D) prevents dislodgement, critical for ventilation. Avoiding movement (
A), daily CXR (
B), and cuff deflation (
C) are incorrect or secondary.
Question 4 of 5
Which instruction is priority for the nurse to discuss with the client diagnosed with ARDS who is being discharged from the hospital?
Correct Answer: A
Rationale: Avoiding smoke (
A) prevents further lung damage, a priority post-ARDS. Vaccines (
B) are recommended, alcohol (
C) is not restricted, and recovery time (
D) varies.
Question 5 of 5
The client diagnosed with community-acquired pneumonia is admitted to the medical unit. Which health-care provider order should the nurse implement first?
Correct Answer: C
Rationale: Sputum/blood cultures (
C) must be obtained before antibiotics to identify pathogens, a priority. IV fluids (
A), antibiotics (
B), and labs (
D) follow.