NCLEX Questions Respiratory

Extract:

Question 1 of 5

The client who smokes two (2) packs of cigarettes a day develops ARDS after a near-drowning. The client asks the nurse, 'What is happening to me? Why did I get this?' Which statement by the nurse is most appropriate?

Correct Answer: C

Rationale: Fluid-filled lungs (
C) explain ARDS simply, addressing breathing issues. Drowning link (
A), permeability (
B), and smoking (
D) are less accurate or overly technical.

Question 2 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 3 of 5

When performing the client's tracheostomy care, which nursing action is correct?

A. Cut a gauze square to fit around the client's stoma. B. Secure the ties at the back of the client's neck. C. Attach new ties before removing old ones. D. Replace the cannula after changing the ties.

Correct Answer: C

Rationale: Attaching new ties before removing old ones ensures the tracheostomy tube remains secure, preventing accidental dislodgement.

Question 4 of 5

The client is admitted with a diagnosis of rule-out severe acute respiratory syndrome (SARS). Which information is most important for the nurse to ask related to this diagnosis?

A. Current prescription and over-the-counter medication use. B. Dates of and any complications associated with recent immunizations. C. Any problems with recent or past use of blood or blood products. D. Recent travel to mainland China, Hong Kong, or Taiwan.

Correct Answer: D

Rationale: SARS is associated with outbreaks in specific regions, notably China, Hong Kong, and Taiwan. Recent travel to these areas (
D) is critical for assessing exposure risk. Medications (
A), immunizations (
B), and blood products (
C) are less relevant to SARS diagnosis, which relies on travel history and symptoms.

Question 5 of 5

The client diagnosed with chronic sinusitis who has undergone a Caldwell-Luc procedure is complaining of pain. Which intervention should the nurse implement first?

A. Administer the narcotic analgesic intravenous push (IVP). B. Perform gentle oral hygiene. C. Place the client in semi-Fowler's position. D. Assess the client's pain.

Correct Answer: D

Rationale: Pain assessment (
D) is the first step to determine severity and guide treatment. Narcotics (
A), oral hygiene (
B), and positioning (
C) follow based on assessment.

NCLEX Questions Respiratory | Nurselytic

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