NCLEX-PN
Respiratory System NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse identified the client problem 'decreased cardiac output' for the client diagnosed with a pulmonary embolus. Which intervention should be included in the plan of care?
Correct Answer: A
Rationale: ABGs (
A) monitor oxygenation, supporting cardiac output in PE. Skin color (
B) is secondary, bleeding (
C) relates to anticoagulation, and Trendelenburg (
D) is contraindicated.
Question 2 of 5
The client with ARDS is on a mechanical ventilator. Which intervention should be included in the nursing care plan addressing the endotracheal tube (ET) care?
Correct Answer: D
Rationale: Securing the ET tube (
D) prevents dislodgement, critical for ventilation. Avoiding movement (
A), daily CXR (
B), and cuff deflation (
C) are incorrect or secondary.
Question 3 of 5
The physician orders an acid-fast bacilli sputum culture smear on a patient with possible tuberculosis. How will you collect this?
Correct Answer: C
Rationale: This is how an AFB sputum culture is collected.
Question 4 of 5
Which collaborative intervention should the nurse implement when caring for the client diagnosed with bronchiectasis?
Correct Answer: C
Rationale: Bronchodilators with postural drainage (
C) is a collaborative intervention for bronchiectasis to open airways and clear secretions, involving nursing and respiratory therapy. Tracheostomy (
A) and lobectomy (
B) are not standard. Chest tubes (
D) are for pneumothorax, not bronchiectasis.
Question 5 of 5
Select all the correct options that represent the pathophysiology of an asthma attack.
Correct Answer: B,C
Rationale: Asthma involves inflammation of the airway mucosa and excessive mucus production by goblet cells. Smooth muscle constriction occurs in bronchioles, not alveoli, and hyperventilation typically leads to respiratory acidosis due to CO2 retention.