NCLEX Questions Respiratory

Extract:

Question 1 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?

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 2 of 5

The client is diagnosed with bronchiolitis obliterans. Which data indicate the glucocorticoid therapy is effective?

A. The client has an elevation in the blood glucose. B. The client has a decrease in sputum production. C. The client has an increase in the temperature. D. The client appears restless and is irritable.

Correct Answer: B

Rationale: Decreased sputum production (
B) indicates reduced airway inflammation in bronchiolitis obliterans, suggesting effective glucocorticoid therapy. Elevated glucose (
A) is a side effect, not efficacy. Increased temperature (
C) or restlessness (
D) suggests worsening or side effects, not improvement.

Question 3 of 5

Which statement made by the client indicates the nurse's discharge teaching is effective for the client diagnosed with COPD?

A. I need to get an influenza vaccine each year, even when there is a shortage. B. I need to get a vaccine for pneumonia each year with my influenza shot. C. If I reduce my cigarettes to six (6) a day, I won't have difficulty breathing. D. I need to restrict my drinking liquids to keep from having so much phlegm.

Correct Answer: A

Rationale: Annual flu vaccines (
A) reduce COPD exacerbation risk, even in shortages. Pneumonia vaccines (
B) are not yearly, smoking reduction (
C) is insufficient, and fluid restriction (
D) is incorrect.

Question 4 of 5

A client comes to the clinic with a bloody nose. Which instruction is most appropriate?

A. Sit up with your head tilted forward. Grasp the soft part of your nose firmly between your thumb and forefinger.' B. Lay down and tilt your head backward. Grasp the end of your nose between your fingers.' C. Sit up and lean backwards. Put pressure on the side of your nose with your hand.' D. Lie down with your head lower than your feet. Grasp as much of your nose as possible between your fingers.'

Correct Answer: A

Rationale: Sitting with the head tilted forward and grasping the soft part of the nose prevents aspiration of blood and effectively stops bleeding.

Question 5 of 5

A 72 year-old male patient who is diagnosed with bilateral lower lobe pneumonia is admitted to your unit. The patient has a history of systolic heart failure and arthritis. On assessment, you note the patient has a respiratory rate of 21 , oxygen saturation $93 \%$ on $2 \mathrm{~L}$ nasal cannula, is alert & oriented, and has a productive cough with green/yellowish sputum. Which of the following nursing interventions will you provide to this patient based on your assessment findings and the patient's diagnosis? Select-all-that-apply:

A. Keep head-of-the-bed less than 30 degrees at all times. B. Collect sputum cultures. C. Encourage 3L of fluids a day to keep secretions thin. D. Encourage incentive spirometer usage E. Provide education about receiving the Pneumovax vaccine annually.

Correct Answer: B,D

Rationale: Sputum cultures identify the causative organism, and incentive spirometer use promotes lung expansion. Head-of-bed <30 degrees increases aspiration risk, 3L fluids may overload heart failure patients, and Pneumovax is not annual.

NCLEX Questions Respiratory | Nurselytic

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