Respiratory NCLEX Questions

Extract:

Question 1 of 5

The nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a surgical floor. Which information provided by the UAP requires immediate intervention by the nurse?

Correct Answer: A

Rationale: Bright-red drainage post-neck dissection (
A) suggests hemorrhage, requiring immediate action. PCA failure (
B), fatigue/SOB (
C), and wheezing (
D) are expected or less urgent.

Question 2 of 5

You're assisting your patient who has asthma to bed. The patient is experiencing a frequent cough and chest tightness. You auscultate the patient's lung fields and note expiratory wheezes. The patient's peak flow rate is 78% less than their best peak flow reading. Which medication will provide the patient with the fastest relief from these signs and symptoms of an asthma attack?

A. Theophylline B. Tiotropium C. Albuterol D. Cromolyn

Correct Answer: C

Rationale: Albuterol is a short-acting beta-agonist that provides rapid bronchodilation, making it the fastest-acting medication for acute asthma symptoms.

Question 3 of 5

The client is diagnosed with cancer of the larynx and is to have radiation therapy to the area. Which prophylactic procedure will the nurse prepare the client for?

A. Removal of the client's teeth and fitting for dentures. B. Take antiemetic medications every four (4) hours. C. Wear sunscreen on the area at all times. D. Placement of a nasogastric feeding tube.

Correct Answer: A

Rationale: Dental extraction (
A) prevents radiation-induced tooth decay. Antiemetics (
B), sunscreen (
C), and NG tubes (
D) are not prophylactic for laryngeal radiation.

Question 4 of 5

The nurse observes the unlicensed assistive personnel (UAP) removing the nasal cannula from the client diagnosed with COPD while ambulating the client to the bathroom. Which action should the nurse implement?

A. Praise the UAP because this prevents the client from tripping on the oxygen tubing. B. Place the oxygen back on the client while sitting in the bathroom and say nothing. C. Explain to the UAP in front of the client oxygen must be left in place at all times. D. Discuss the UAP's action with the charge nurse so appropriate action can be taken.

Correct Answer: B

Rationale: COPD clients need continuous oxygen; replacing it (
B) corrects the error safely. Praising (
A) is incorrect, explaining in front of client (
C) is unprofessional, and escalating (
D) is premature.

Question 5 of 5

The client diagnosed with tonsillitis is scheduled to have surgery in the morning. Which assessment data should the nurse notify the health-care provider about prior to surgery?

A. The client has a hemoglobin of 12.2 g/dL and hematocrit of 36.5%. B. The client has an oral temperature of 100.2°F and a dry cough. C. There are one (1) to two (2) white blood cells (WBCs) in the urinalysis. D. The client's current international normalized ratio (INR) is 1.

Correct Answer: B

Rationale: Fever (100.2°F) and cough (
B) suggest infection, a surgical risk requiring HCP notification. Hb/Hct (
A) are near normal, WBCs in urine (
C) are insignificant, and INR 1 (
D) is normal.

Respiratory NCLEX Questions | Nurselytic

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