Respiratory NCLEX Questions

Extract:

Question 1 of 5

The client in the intensive care unit diagnosed with end-stage chronic obstructive pulmonary disease has a Swan-Ganz mean pulmonary artery pressure of 35 mm Hg. Which health-care provider order would the nurse question?

Correct Answer: A

Rationale: A mean pulmonary artery pressure of 35 mm Hg indicates pulmonary hypertension, common in end-stage COPD. IV fluids at 125 mL/hr (
A) risk fluid overload and worsening right heart strain, so this order should be questioned. Oxygen (
B), telemetry (
C), and diuretics (
D) are appropriate to manage hypoxia, monitor cardiac status, and reduce fluid overload.

Question 2 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?

A. Investigational regimens provide a better chance of survival for the client. B. Investigational treatments have not been proven to be helpful to clients. C. Clients will be paid to participate in an investigational program. D. Only clients who are dying qualify for investigational treatments.

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 3 of 5

You are assessing your newly admitted patients who are all presenting with atypical signs and symptoms of a possible lung infection. The physician suspects tuberculosis. So, therefore, the patients are being monitored and tested for the disease. Select all the risk factors below that increases a patient's risk for developing tuberculosis:

A. Diabetes B. Liver failure C. Long-term care resident D. Inmate E. IV drug user F. HIV G. U.S. resident

Correct Answer: A,C,D,E,F

Rationale: Risk factors for tuberculosis include conditions or environments that weaken the immune system or increase exposure: diabetes , long-term care residency , incarceration , IV drug use , and HIV . Liver failure is not a direct risk factor, and being a U.S. resident is not specific enough.

Question 4 of 5

The nurse observes the unlicensed assistive personnel (UAP) removing the nasal cannula from the client diagnosed with COPD while ambulating the client to the bathroom. Which action should the nurse implement?

A. Praise the UAP because this prevents the client from tripping on the oxygen tubing. B. Place the oxygen back on the client while sitting in the bathroom and say nothing. C. Explain to the UAP in front of the client oxygen must be left in place at all times. D. Discuss the UAP's action with the charge nurse so appropriate action can be taken.

Correct Answer: B

Rationale: COPD clients need continuous oxygen; replacing it (
B) corrects the error safely. Praising (
A) is incorrect, explaining in front of client (
C) is unprofessional, and escalating (
D) is premature.

Question 5 of 5

After administering the first puff of medication, what client action demonstrates proper use of the inhaler?

A. The client depresses the canister a second time before exhaling. B. The client holds his or her breath for up to 10 seconds before exhaling. C. The client cleans the mouthpiece with a clean paper tissue or cloth. D. The client bends from the waist to increase the exhaled volume.

Correct Answer: B

Rationale: Holding the breath for up to 10 seconds after inhaling allows the medication to deposit in the lungs effectively.

Respiratory NCLEX Questions | Nurselytic

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