NCLEX-PN
NCLEX Questions Respiratory Questions
Extract:
Question 1 of 5
The nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. Which information provided by the UAP warrants immediate intervention by the nurse?
Correct Answer: C
Rationale: Hypertension (198/102) with Procrit (
C) suggests a serious side effect, requiring immediate intervention. Hemoptysis (
A), tripod position (
B), and stomach upset (
D) are expected or less urgent.
Question 2 of 5
To evaluate the significance of the client's bleeding, which additional assessment is most important for the nurse to make at this time?
Correct Answer: D
Rationale: Measuring chest expansion helps assess for complications like pneumothorax, which could cause bleeding post-bronchoscopy.
Question 3 of 5
The nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. Which information provided by the UAP warrants immediate intervention by the nurse?
Correct Answer: C
Rationale: Hypertension (198/102) with Procrit (
C) suggests a serious side effect, requiring immediate intervention. Hemoptysis (
A), tripod position (
B), and stomach upset (
D) are expected or less urgent.
Question 4 of 5
Which statement by the client would indicate to the nurse that the client has an accurate understanding of the planned surgery?
Correct Answer: A
Rationale: A pneumonectomy involves removing an entire lung, so the client's statement reflects accurate understanding.
Question 5 of 5
When suctioning a client with a tracheostomy, when is the best time to occlude the vent on the suction catheter?
Correct Answer: C
Rationale: Occluding the vent while withdrawing the catheter applies suction to remove secretions effectively.