NCLEX-PN
Respiratory System NCLEX Questions Questions
Extract:
Question 1 of 5
The client diagnosed with deep vein thrombosis (DVT) suddenly complains of severe chest pain and a feeling of impending doom. Which complication should the nurse suspect the client has experienced?
Correct Answer: C
Rationale: Sudden chest pain and impending doom in a DVT patient suggest pulmonary embolus (
C), where a clot dislodges to the lungs, causing acute respiratory distress. Myocardial infarction (
A) presents with cardiac symptoms. Pneumonia (
B) has gradual onset. Pneumothorax (
D) causes unilateral symptoms.
Question 2 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 3 of 5
Which symptom reported by the client to the nurse is the best indicator that complications are developing from this cold?
Correct Answer: C
Rationale: A high fever suggests a possible secondary bacterial infection or other complication, such as sinusitis or pneumonia, which is more serious than typical cold symptoms.
Question 4 of 5
A patient is ordered at 1400 to take Theophylline. You're assessing the patient's morning lab results and note that the Theophylline level drawn this morning reads: $15 \mathrm{mcg} / \mathrm{mL}$. You're next nursing action is to?
Correct Answer: A
Rationale: A Theophylline level of 15 mcg/mL is within the therapeutic range (10-20 mcg/mL), so the dose should be administered as ordered . No further action is needed.
Question 5 of 5
The client diagnosed with asthma is admitted to the emergency department with difficulty breathing and a blue color around the mouth. Which diagnostic test will be ordered to determine the status of the client?
Correct Answer: B
Rationale: Pulmonary function tests (
B) assess airway obstruction in acute asthma. CBC (
A), allergy testing (
C), and cortisol levels (
D) are not immediate diagnostic tools.