Respiratory System NCLEX Questions

Extract:

Question 1 of 5

The client with ARDS is on a mechanical ventilator. Which intervention should be included in the nursing care plan addressing the endotracheal tube (ET) care?

Correct Answer: D

Rationale: Securing the ET tube (
D) prevents dislodgement, critical for ventilation. Avoiding movement (
A), daily CXR (
B), and cuff deflation (
C) are incorrect or secondary.

Question 2 of 5

How should the nurse position the client while undergoing a thoracentesis?

A. Lithotomy position B. Sitting C. Prone D. Supine

Correct Answer: B

Rationale: Sitting upright with arms supported allows access to the pleural space and minimizes complications during thoracentesis.

Question 3 of 5

The client diagnosed with an exacerbation of COPD is in respiratory distress. Which intervention should the nurse implement first?

A. Assist the client into a sitting position at 90 degrees. B. Administer oxygen at six (6) LPM via nasal cannula. C. Monitor vital signs with the client sitting upright. D. Notify the health-care provider about the client's status.

Correct Answer: A

Rationale: Sitting upright (
A) improves lung expansion in COPD distress, a priority. Oxygen (
B), vitals (
C), and notification (
D) follow to support oxygenation and communication.

Question 4 of 5

The charge nurse receives morning laboratory and respiratory data on the clients. Which data requires immediate intervention?

A. ABG results of pH 7.35, Paco2 56, Hco3 29, Pao2 78 for a client diagnosed with COPD. B. Pulse oximetry reading of 89% on a two-day postsurgical total knee replacement client. C. Hgb of 9 g/dL and Hct of 28% on a client who is receiving the second unit of blood. D. B-type natriuretic peptide (BNP) of 100 on a client diagnosed with stage 4 congestive heart failure.

Correct Answer: B

Rationale: SpO2 89% post

Question 5 of 5

Which statement made by the client diagnosed with chronic bronchitis indicates to the nurse more teaching is required?

A. I should contact my health-care provider if my sputum changes color or amount. B. I will take my bronchodilator regularly to prevent having bronchospasms. C. This metered-dose inhaler gives a precise amount of medication with each dose. D. I need to return to the HCP to have my blood drawn with my annual physical.

Correct Answer: D

Rationale: Blood draws (
D) are not routine for bronchitis, indicating misunderstanding. Sputum changes (
A), bronchodilator use (
B), and inhaler accuracy (
C) reflect correct understanding.

Respiratory System NCLEX Questions | Nurselytic

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