Respiratory NCLEX Questions | Nurselytic

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Respiratory NCLEX Questions Questions

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Question 1 of 5

The health-care provider ordered STAT arterial blood gases (ABGs) for the client diagnosed with ARDS. The ABG results are pH 7.38, Pao2 92, Paco2 38, Hco3 24. Which action should the nurse implement?

Correct Answer: A

Rationale: Normal ABGs (
A) in ARDS indicate stability, requiring monitoring. Deep breathing (
B), bicarbonate (
C), and notification (
D) are unnecessary.

Question 2 of 5

The client diagnosed with lung cancer is in an investigational program and receiving a vaccine to treat the cancer. Which information regarding investigational regimens should the nurse teach?

Correct Answer: B

Rationale: Investigational treatments (
B) lack proven efficacy, requiring informed consent. Better survival (
A), payment (
C), and terminal status (
D) are incorrect.

Question 3 of 5

A farmer who has had a cough for several months has noticed a lack of energy lately. He is being tested for histoplasmosis. Which factor reported by the client would be most related to the diagnosis of histoplasmosis?

Correct Answer: B

Rationale: Cleaning chicken houses exposes the client to bird droppings, a common source of Histoplasma capsulatum, the fungus causing histoplasmosis.

Question 4 of 5

The nurse is applying oxygen via nasal cannula to a client diagnosed with chronic obstructive pulmonary disease (COPD). The client complains of extreme shortness of breath. At which rate should the nurse set the flowmeter?

Correct Answer: A

Rationale: COPD clients require low-flow oxygen (2 LPM,
A) to avoid CO2 retention. Higher rates (B, C,
D) risk respiratory drive suppression.

Question 5 of 5

The nurse is caring for a client on a ventilator and the alarm goes off. Which action should the nurse implement first?

Correct Answer: B

Rationale: Checking the ventilator (
B) is the first action to identify the alarm’s cause (e.g., disconnection, obstruction), per the ABCs. Notifying the therapist (
A) delays intervention. Elevating the bed (
C) is irrelevant. Assessing oxygen saturation (
D) is secondary to addressing the ventilator issue.

Similar Questions

You are assessing your newly admitted patients who are all presenting with atypical signs and symptoms of a possible lung infection. The physician suspects tuberculosis. So, therefore, the patients are being monitored and tested for the disease. Select all the risk factors below that increases a patient's risk for developing tuberculosis:
When administering oxygen to the client through a partial rebreathing mask, which observation is most important for the nurse to report to the respiratory therapy department?
A patient with severe COPD is having an episode of extreme shortness of breath and requests their inhaler. Which type of inhaler ordered by the physician would provide the FASTEST relief for the patient based on this particular situation?
A patient is admitted with pneumonia. Sputum cultures show that the patient is infected with a gram positive bacterium. The patient is allergic to Penicillin. Which medication would the patient most likely be prescribed?
Which nursing action is essential before suctioning the client with a tracheostomy tube?

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