NCLEX-PN
Respiratory System NCLEX Questions Questions
Extract:
Question 1 of 5
The client is three (3) days post-partial laryngectomy. Which type of nutrition should the nurse offer the client?
Correct Answer: D
Rationale: Clear liquids (
D) are safest 3 days post-laryngectomy to prevent aspiration. TPN (
A), soft diet (
B), and partial PN (
C) are premature or unnecessary.
Question 2 of 5
The client diagnosed with cancer of the larynx has had four (4) weeks of radiation therapy to the neck. The client is complaining of severe pain when swallowing. Which scientific rationale explains the pain?
Correct Answer: D
Rationale: Radiation causes esophageal mucositis/ulcerations (
D), leading to painful swallowing. Obstruction (
A), edema (
B), and cancer pain (
C) are less likely causes.
Question 3 of 5
After a chest tube has been inserted to treat the client's pneumothorax, which finding indicates that the chest tube is functioning correctly?
Correct Answer: D
Rationale: Relief of chest pain indicates the chest tube is effectively re-expanding the lung and resolving the pneumothorax.
Question 4 of 5
Which statement indicates to the nurse the client diagnosed with sleep apnea needs further teaching?
Correct Answer: D
Rationale: Alcohol (
D) worsens sleep apnea by relaxing airway muscles, contradicting effective CPAP use. Weight loss (
A) can reduce sleep apnea severity. CPAP maintaining airway patency (
B) and improving daytime alertness (
C) are correct.
Question 5 of 5
When the client asks why the physician prescribed this particular cough medicine, the nurse correctly responds that the guaifenesin liquefies mucus while the codeine is responsible for which action?
Correct Answer: C
Rationale: Codeine in cough syrup acts as an antitussive, suppressing the cough reflex to reduce coughing episodes.