NCLEX-PN
Respiratory System NCLEX Questions Questions
Extract:
Question 1 of 5
The client diagnosed with an exacerbation of COPD is in respiratory distress. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: Sitting upright (
A) improves lung expansion in COPD distress, a priority. Oxygen (
B), vitals (
C), and notification (
D) follow to support oxygenation and communication.
Question 2 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.
Question 3 of 5
Which collaborative intervention should the nurse implement when caring for the client diagnosed with bronchiectasis?
Correct Answer: C
Rationale: Bronchodilators with postural drainage (
C) is a collaborative intervention for bronchiectasis to open airways and clear secretions, involving nursing and respiratory therapy. Tracheostomy (
A) and lobectomy (
B) are not standard. Chest tubes (
D) are for pneumothorax, not bronchiectasis.
Question 4 of 5
Which assessment finding noted by the nurse on the client's return to the room is an early indication that the client's oxygenation status is compromised?
Correct Answer: B
Rationale: Restlessness is an early sign of hypoxia, indicating compromised oxygenation status, which requires immediate attention.
Question 5 of 5
The client diagnosed with cancer of the larynx has had four (4) weeks of radiation therapy to the neck. The client is complaining of severe pain when swallowing. Which scientific rationale explains the pain?
Correct Answer: D
Rationale: Radiation causes esophageal mucositis/ulcerations (
D), leading to painful swallowing. Obstruction (
A), edema (
B), and cancer pain (
C) are less likely causes.