NCLEX-PN
Respiratory NCLEX Questions Questions
Extract:
Question 1 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 2 of 5
The nurse observes the client sitting on the side of the bed with the arms propped on the over-bed table. The chest is barrel shaped and the client is breathing though lips spaced close together and is exhaling slowly. Which concept is priority for this client?
Correct Answer: D
Rationale: Tripod position, barrel chest, and pursed-lip breathing (
D) indicate COPD with oxygenation as the priority. Mobility (
A), nutrition (
B), and activity (
C) are secondary.
Question 3 of 5
A patient receiving medical treatment for an active tuberculosis infection asks when she can starting going out in public again. You respond that she is no longer contagious when:
Correct Answer: A
Rationale: A patient with active TB is considered non-contagious after three consecutive negative sputum cultures, indicating no viable bacteria. Symptom improvement, medication duration, or normal X-rays alone do not confirm non-contagiousness.
Question 4 of 5
Which statement by the client best indicates that the client understands the rationale for the direct laryngoscopy?
Correct Answer: C
Rationale: Persistent hoarseness can be a symptom of laryngeal cancer, and direct laryngoscopy is used to visualize the larynx for abnormalities like tumors.
Question 5 of 5
During the preoperative period, which nursing action will be of greatest priority for a person who is to have a laryngectomy?
Correct Answer: A
Rationale: Establishing a means of communication is the highest priority preoperatively, as the client will lose the ability to speak post-laryngectomy.