NCLEX-PN
NCLEX Questions Respiratory Questions
Extract:
Question 1 of 5
The client who has undergone a radical neck dissection and tracheostomy for cancer of the larynx is being discharged. Which discharge instructions should the nurse teach? Select all that apply.
Correct Answer: B,D,E
Rationale: Showering protection (
B), humidifiers (
D), and special phones (E) support tracheostomy care. Speech (
A) is lost permanently, and petroleum ointment (
C) risks infection.
Question 2 of 5
Based on the client's clinical presentation, which drug should the nurse anticipate will be administered intravenously?
Correct Answer: A
Rationale: Heparin is the standard anticoagulant used to prevent further clot formation in pulmonary embolism.
Question 3 of 5
Before discharging a client with fractured ribs from the emergency department, which instruction is most important for the nurse to give the client?
Correct Answer: B
Rationale: Taking deep breaths periodically prevents atelectasis and pneumonia, which are risks with fractured ribs due to shallow breathing.
Question 4 of 5
Which datum requires immediate intervention by the nurse for the client diagnosed with asbestosis?
Correct Answer: A
Rationale: An S3 heart sound (
A) indicates heart failure, a serious complication in asbestosis due to pulmonary hypertension, requiring immediate intervention. Clubbing (
B) is a chronic finding, not acute. Fatigue (
C) is common but not urgent. Basilar crackles (
D) are expected in asbestosis and less critical than cardiac issues.
Question 5 of 5
Before recommending the use of a nonprescription decongestant to a client with a cold, which aspect of the medical history should be assessed? Select all that apply.
Correct Answer: C, E, F
Rationale: Decongestants can exacerbate hypertension, glaucoma, and arrhythmias due to their vasoconstrictive effects. Asthma is also a concern as decongestants may worsen respiratory symptoms in some cases.