NCLEX-PN
NCLEX Respiratory Questions Questions
Extract:
Question 1 of 5
The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Brain metastasis impairs cognition, making driving unsafe (
C). Advance directives (
A), chemotherapy (
B), and proxy decisions (
D) are secondary or inappropriate.
Question 2 of 5
The nurse instructs the client's spouse to empty and thoroughly clean the vaporizer after each use. Which rationale provides the basis for the nurse's instruction?
Correct Answer: B
Rationale: A cool-mist vaporizer can harbor pathogens like bacteria and mold if not cleaned properly, potentially worsening respiratory symptoms.
Question 3 of 5
When teaching the client about topical nasal decongestant sprays, the nurse should warn that overuse of such medication is likely to result in which adverse effect?
Correct Answer: B
Rationale: Overuse of topical nasal decongestants can lead to rebound congestion, where nasal passages become more congested after the medication wears off, due to dependency on the decongestant.
Question 4 of 5
The nurse suspects the client admitted with a near-drowning is developing acute respiratory distress syndrome (ARDS). Which data support the nurse's suspicion?
Correct Answer: C
Rationale: Intercostal retractions and accessory muscle use (
C) indicate severe respiratory distress, consistent with ARDS due to increased work of breathing from reduced lung compliance. Normal ABGs (
A) contradict ARDS, which involves hypoxia. Anxiety, dyspnea, and tachypnea (
B) are non-specific. Crackles and rhonchi (
D) may occur but are less specific than physical signs of distress.
Question 5 of 5
Until the client can be examined later that morning, which advice by the nurse would be most helpful?
Correct Answer: B
Rationale: Resting the voice reduces strain on the vocal cords, which is beneficial for laryngitis and helps prevent further irritation.