NCLEX-PN
Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
The client diagnosed with ARDS is transferred to the intensive care department and placed on a ventilator. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Assessing respiratory status and SpO2 (
C) ensures immediate patient stability. Ventilator settings (
A), alarms (
B), and ABGs (
D) follow.
Question 2 of 5
The nurse is preparing to administer the oral anticoagulant warfarin (Coumadin) to a client who has a PT/PTT of 22/39 and an INR of 2.8. What action should the nurse implement?
Correct Answer: C
Rationale: INR 2.8 (
C) is therapeutic for PE (2–3), so administer warfarin. Bleeding assessment (
A) is routine, vitamin K (
B) reverses overdose, and increasing dose (
D) is unnecessary.
Question 3 of 5
Which specimen collection technique should the nurse use to correctly obtain the throat culture from the client?
Correct Answer: C
Rationale: A throat culture requires swabbing the pharynx with a sterile cotton applicator to collect a sample from the area most likely to harbor pathogens.
Question 4 of 5
The nurse is caring for the client diagnosed with end-stage COPD. Which data warrant immediate intervention by the nurse?
Correct Answer: D
Rationale: Rusty sputum (
D) suggests hemoptysis or infection, a critical finding in end-stage COPD. SpO2 92% (
A), PaO2 74 (
B), and SOB (
C) are expected but less urgent.
Question 5 of 5
Which response by the nurse is most appropriate at this time?
Correct Answer: B
Rationale: Staying with the client provides emotional support and ensures prompt intervention during a suspected pulmonary embolism.