NCLEX-PN
NCLEX Respiratory Questions Questions
Extract:
Question 1 of 5
The clinic nurse is interviewing clients. Which information provided by a client warrants further investigation?
Correct Answer: D
Rationale: Hemoptysis (
D) suggests serious conditions (e.g., lung cancer, T
B), requiring investigation. VapoRub (
A), appendectomy (
B), and vitamins (
C) are benign.
Question 2 of 5
The nurse is discharging the client diagnosed with bronchiolitis obliterans. Which priority intervention should the nurse include?
Correct Answer: C
Rationale: Bronchiolitis obliterans causes irreversible airway obstruction, often requiring home oxygen therapy (
C) to manage hypoxemia, a priority for discharge planning. Referrals (
A), physical therapy (
B), and advance directives (
D) are important but secondary to ensuring oxygenation.
Question 3 of 5
An adult has a chest drainage system. The client's wife reports to the nurse that her husband is restless. The nurse enters the room just in time to see him pull out his chest tube. The most appropriate initial action for the nurse to take is to:
Correct Answer: B
Rationale: Placing a hand firmly over the wound prevents air from entering the pleural space, which could cause a pneumothorax.
Question 4 of 5
The nurse is discharging a client newly diagnosed with restrictive airway disease (asthma). Which statement indicates the client understands the discharge instructions?
Correct Answer: A
Rationale: Calling 911 for uncontrolled asthma (
A) shows understanding of emergency action. Warm water (
B) is insufficient (hot water needed), Chinese food (
C) may contain MSG, and NSAIDs (
D) can trigger asthma.
Question 5 of 5
You're caring for a patient with pneumonia. The patient has just started treatment for pneumonia and is still experiencing hypoxemia. You know that respiratory acidosis is very common with patients with pneumonia. Which arterial blood gases below represent respiratory acidosis that is NOT compensated?
Correct Answer: A
Rationale: Respiratory acidosis is characterized by low pH (<7.35) and high PaCO2 (>45). Option A (pH 7.29, PaCO2 55, HCO3 23) shows uncompensated respiratory acidosis, as HCO3 is normal, indicating no renal compensation. Other options show normal pH, respiratory alkalosis, or invalid data.