NCLEX-PN
NCLEX Respiratory Questions Questions
Extract:
Question 1 of 5
The client diagnosed with respiratory distress has arterial blood gases of pH 7.45, Paco2 54, Hco3 25, Pao2 52. Which should the nurse implement? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: PaO2 52 and PaCO2 54 indicate severe hypoxia; apply nonrebreather (
A), call RRT (
B), elevate HOB (
C), stay with client (
D), and notify HCP (E) are all critical.
Question 2 of 5
If the client is typical of most others diagnosed with lung cancer, which early-warning sign was most likely ignored?
Correct Answer: C
Rationale: A persistent cough is a common early symptom of lung cancer that is often ignored, delaying diagnosis.
Question 3 of 5
The clinic nurse is interviewing clients. Which information provided by a client warrants further investigation?
Correct Answer: D
Rationale: Hemoptysis (
D) suggests serious conditions (e.g., lung cancer, T
B), requiring investigation. VapoRub (
A), appendectomy (
B), and vitamins (
C) are benign.
Question 4 of 5
Which statement indicates the client diagnosed with asthma needs more teaching concerning the medication regimen?
Correct Answer: C
Rationale: Daily oral glucocorticoids (
C) are not typically used for asthma maintenance due to significant side effects; they are reserved for severe exacerbations or specific cases. Inhaled corticosteroids or leukotriene modifiers (like Singulair,
A) are preferred for long-term control. Using cromolyn before exercise (
B) is correct to prevent exercise-induced bronchospasm. Albuterol for acute attacks (
D) is appropriate as a rescue inhaler.
Question 5 of 5
The client has had a total laryngectomy. Which referral is specific for this surgery?
Correct Answer: C
Rationale: Lost Chord Club (
C) supports laryngectomy patients with communication and adjustment. CanSurmount (
A), Dialogue (
B), and SmokEnders (
D) are for cancer, CLL, and smoking cessation.