NCLEX-PN
NCLEX Respiratory Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client diagnosed with a pneumothorax who had chest tubes inserted four (4) hours ago. There is no fluctuating (tidaling) in the water-seal compartment of the closed chest drainage system. Which action should the nurse implement first?
Correct Answer: B
Rationale: No tidaling in the water-seal compartment suggests a blockage or kink. Checking for kinks (
B) is the first, non-invasive action to restore function. Milking (
A) is avoided due to pressure risks. Coughing (
C) is ineffective if tubing is blocked. Assessing the site (
D) is secondary.
Question 2 of 5
While developing the postoperative care plan for the client, it is essential to have the client lie in which position?
Correct Answer: A
Rationale: Positioning with the healthy lung uppermost optimizes ventilation and perfusion in the remaining lung post-pneumonectomy.
Question 3 of 5
The client is admitted to the emergency department with chest trauma. Which signs/symptoms indicate to the nurse the diagnosis of pneumothorax?
Correct Answer: B
Rationale: Pneumothorax causes unequal lung expansion and dyspnea (
B) from collapsed lung. Bronchovesicular sounds/bradypnea (
A), frothy sputum (
C), and barrel chest (
D) suggest other conditions.
Question 4 of 5
The client diagnosed with tuberculosis has been treated with antitubercular medications for six (6) weeks. Which data would indicate the medications have been effective?
Correct Answer: B
Rationale: Improved symptoms (
B) after six weeks of TB treatment (e.g., reduced cough, fever) indicate medication efficacy. WBCs in sputum (
A) are not a standard measure. Chest X-ray changes (
C) lag behind clinical improvement. The skin test (
D) remains positive post-exposure, regardless of treatment.
Question 5 of 5
The nurse is caring for a client diagnosed with a pneumothorax who had chest tubes inserted four (4) hours ago. There is no fluctuating (tidaling) in the water-seal compartment of the closed chest drainage system. Which action should the nurse implement first?
Correct Answer: B
Rationale: No tidaling in the water-seal compartment suggests a blockage or kink. Checking for kinks (
B) is the first, non-invasive action to restore function. Milking (
A) is avoided due to pressure risks. Coughing (
C) is ineffective if tubing is blocked. Assessing the site (
D) is secondary.