NCLEX Questions Respiratory

Extract:

Question 1 of 5

The client diagnosed with chronic obstructive pulmonary disease (COPD) is admitted to the medical unit. The client has thin extremities, truncal obesity, and multiple ecchymotic areas on the arms. Based on the assessment data, which question should the nurse ask the client?

Correct Answer: A

Rationale: Thin limbs, truncal obesity, and ecchymosis (
A) suggest corticosteroid use (e.g., prednisone) in COPD. Abuse (
B), pressure ulcers (
C), and HOB elevation (
D) are less likely.

Question 2 of 5

The nurse is preparing to administer influenza vaccines to a group of elderly clients in a long-term care facility. Which client should the nurse question receiving the vaccine?

A. The client diagnosed with congestive heart failure. B. The client with a documented allergy to eggs. C. The client who has had an anaphylactic reaction to penicillin. D. The client who has an elevated blood pressure and pulse.

Correct Answer: B

Rationale: Influenza vaccines are often grown in eggs, making egg allergy (
B) a contraindication due to anaphylaxis risk. Congestive heart failure (
A), penicillin allergy (
C), and elevated vitals (
D) are not contraindications for the flu vaccine.

Question 3 of 5

The unlicensed assistive personnel (UAP) assists the client with a chest tube to ambulate to the bathroom. Which situation warrants immediate intervention from the nurse?

A. The UAP keeps the chest tube below chest level. B. The UAP has the chest tube attached to suction. C. The UAP allowed the client out of the bed. D. The UAP uses a bedside commode for the client.

Correct Answer: B

Rationale: Suction during ambulation (
B) restricts mobility and risks dislodgement, requiring intervention. Below chest level (
A), ambulation (
C), and commode (
D) are appropriate.

Question 4 of 5

The client diagnosed with oat cell carcinoma of the lung tells the nurse, 'I am so tired of all this. I might as well just end it all.' Which statement should be the nurse's first response?

A. Say, 'This must be hard for you. Would you like to talk?' B. Tell the HCP of the client's statement. C. Refer the client to a social worker or spiritual advisor. D. Find out if the client has a plan to carry out suicide.

Correct Answer: A

Rationale: Acknowledging feelings and offering to talk (
A) opens communication for suicidal ideation. Notifying HCP (
B), referring (
C), and assessing plans (
D) follow.

Question 5 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?

A. Gentle bubbling in the suction compartment. B. No fluctuation (tidaling) in the water-seal compartment. C. The drainage compartment has 250 mL of blood. D. The client is able to deep breathe without any pain.

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.

NCLEX Questions Respiratory | Nurselytic

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