NCLEX-PN
NCLEX Questions Respiratory Questions
Extract:
Question 1 of 5
The client diagnosed with ARDS is on a ventilator and the high alarm indicates an increase in the peak airway pressure. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: High airway pressure may result from kinks (
A), a common cause requiring immediate check. Suctioning (
B), lip line (
C), and sedation (
D) follow if needed.
Question 2 of 5
An adult is to have a thoracentesis performed. What should the nurse do while preparing the client for this procedure?
Correct Answer: C
Rationale: Explaining the procedure reduces anxiety and ensures the client understands what to expect during thoracentesis.
Question 3 of 5
When suctioning a client with a tracheostomy, when is the best time to occlude the vent on the suction catheter?
Correct Answer: C
Rationale: Occluding the vent while withdrawing the catheter applies suction to remove secretions effectively.
Question 4 of 5
Which assessment data indicate to the nurse the chest tubes inserted three (3) days ago have been effective in treating the client with a hemothorax?
Correct Answer: B
Rationale: No tidaling (
B) indicates lung re-expansion, showing effective hemothorax treatment. Bubbling (
A) suggests air leak, drainage (
C) is expected, and pain-free breathing (
D) is secondary.
Question 5 of 5
To evaluate the significance of the client's bleeding, which additional assessment is most important for the nurse to make at this time?
Correct Answer: D
Rationale: Measuring chest expansion helps assess for complications like pneumothorax, which could cause bleeding post-bronchoscopy.