NCLEX-PN
Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
The home health-care nurse is talking on the telephone to a male client diagnosed with hypertension and hears the client sneezing. The client tells the nurse he has been blowing his nose frequently. Which question should the nurse ask the client?
Correct Answer: C
Rationale: Sneezing and nasal discharge suggest a URI; asking about OTC medications (
C) assesses self-treatment and potential interactions. Flu shot timing (
A) is irrelevant, children (
B) are secondary, and cold sores (
D) relate to herpes, not URI.
Question 2 of 5
An adult man has a tracheostomy tube in place. Which of the following actions is most appropriate for the nurse to take when suctioning the tracheostomy?
Correct Answer: B
Rationale: Suctioning should use sterile technique, with suction off during insertion and applied intermittently for no more than 10 seconds to prevent hypoxia and trauma.
Question 3 of 5
The client in the intensive care unit diagnosed with end-stage chronic obstructive pulmonary disease has a Swan-Ganz mean pulmonary artery pressure of 35 mm Hg. Which health-care provider order would the nurse question?
Correct Answer: A
Rationale: A mean pulmonary artery pressure of 35 mm Hg indicates pulmonary hypertension, common in end-stage COPD. IV fluids at 125 mL/hr (
A) risk fluid overload and worsening right heart strain, so this order should be questioned. Oxygen (
B), telemetry (
C), and diuretics (
D) are appropriate to manage hypoxia, monitor cardiac status, and reduce fluid overload.
Question 4 of 5
The 56-year-old client diagnosed with tuberculosis (Tb) is being discharged. Which statement made by the client indicates an understanding of the discharge instructions?
Correct Answer: B
Rationale: TB treatment requires months of antibiotics (
B) for cure. Three weeks (
A) is too short, antibiotics don’t eliminate transmission risk immediately (
C), and skin tests (
D) monitor exposure, not cure.
Question 5 of 5
Which intervention should the emergency department nurse implement first for the client admitted for an acute asthma attack?
Correct Answer: B
Rationale: In an acute asthma attack, the priority is to address hypoxia. Administering oxygen (
B) ensures adequate oxygenation, which is critical in respiratory distress. IV glucocorticoids (
A) reduce inflammation but act slowly and are not the first intervention. Establishing a saline lock (
C) is preparatory but not immediate. Assessing breath sounds (
D) is important but secondary to ensuring oxygenation.