Respiratory NCLEX Questions

Extract:

Question 1 of 5

The client diagnosed with lung cancer is in an investigational program and receiving a vaccine to treat the cancer. Which information regarding investigational regimens should the nurse teach?

Correct Answer: B

Rationale: Investigational treatments (
B) lack proven efficacy, requiring informed consent. Better survival (
A), payment (
C), and terminal status (
D) are incorrect.

Question 2 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?

A. Confirm that the ventilator settings are correct. B. Verify that the ventilator alarms are functioning properly. C. Assess the respiratory status and pulse oximeter reading. D. Monitor the client's arterial blood gas results.

Correct Answer: C

Rationale: Assessing respiratory status and SpO2 (
C) ensures immediate patient stability. Ventilator settings (
A), alarms (
B), and ABGs (
D) follow.

Question 3 of 5

You're educating a patient about Warfarin (Coumadin) and how it is used to treat blood clots. Which statements by the patient require you to re-educate them about how this medication works? Select all that apply:

A. This medication will help dissolve the blood clot. B. This medication will prevent another blood clot from forming. C. This medication will help prevent the blood clot from becoming bigger in size. D. This medication starts working immediately after the first dose.

Correct Answer: A,D

Rationale: Warfarin (Coumadin) does NOT dissolve blood clots. It prevents blood clots from forming, and if one is present, it will help prevent it from becoming bigger. If the blood clot becomes bigger it may break off and travel in blood circulation. This can lead to a pulmonary embolism, heart attack, or stroke. Warfarin (Coumadin) does NOT start working immediately. It takes about 3-5 days of scheduled doses to start achieving a therapeutic INR level. It is very common that a patient will be on Heparin while taking Warfarin until INR levels are therapeutic.

Question 4 of 5

While withdrawing the suction catheter from a client's tracheostomy tube, which nursing technique is correct?

A. Remove the catheter slowly. B. Push and pull the catheter. C. Plunge the catheter up and down. D. Twist and rotate the catheter.

Correct Answer: A

Rationale: Removing the catheter slowly while applying intermittent suction ensures effective secretion removal without causing trauma.

Question 5 of 5

A patient is taking Streptomycin. Which finding below requires the nurse to notify the physician?

A. Patient reports a change in vision. B. Patient reports a metallic taste in the mouth. C. The patient has ringing in their ears. D. The patient has a persistent dry cough.

Correct Answer: C

Rationale: This medication can be very toxic to the ears (cranial nerve 8).
Therefore, it is alarming if the patient reports ringing in their ears, which could represent ototoxicity.

Respiratory NCLEX Questions | Nurselytic

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