NCLEX-RN
Adult Health II Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is assessing a client recovering from anesthesia. Which of the following is an early indicator of hypoxemia?
Correct Answer: B
Rationale: Restlessness is an early sign of hypoxemia, as the brain responds to low oxygen levels with agitation before more severe symptoms like somnolence or cyanosis appear.
Question 2 of 5
A client is to receive peritoneal dialysis. To prepare for the procedure, the nurse should?
Correct Answer: D
Rationale: Warming the dialysis solution prevents discomfort and promotes effective dialysis by relaxing abdominal muscles.
Question 3 of 5
A client with ascites and peripheral edema is at risk for impaired skin integrity. To prevent skin breakdown, the nurse should:
Correct Answer: C
Rationale: An alternating air pressure mattress (
C) prevents pressure ulcers in clients with edema and ascites. ROM exercises (
A) and elevation (
D) are supportive but secondary. Abdominal massage (
B) is not indicated.
Question 4 of 5
The client with tuberculosis is to be discharged home with community health nursing follow-up. Of the following nursing interventions, which should have the highest priority?
Correct Answer: B
Rationale: Teaching about the disease and treatment is the priority to ensure adherence to the lengthy regimen, preventing relapse or resistance. Emotional support, agency coordination, and sanitation are important but secondary.
Question 5 of 5
A client uses a metered-dose inhaler (MDI) to aid in management of his asthma. Which action by the client indicates to the nurse that he needs further instruction regarding its use? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Incorrect MDI use includes not coordinating activation with inspiration (
A), rapid inspiration (
B), holding breath for only 3 seconds (C; should be 10 seconds), and rapid successive puffs (E; wait 1 minute between puffs). Shaking after use (
D) is incorrect but less critical.