NCLEX Respiratory Questions

Extract:

Question 1 of 5

The nurse is caring for a client with a right-sided chest tube that is accidentally pulled out of the pleural space. Which action should the nurse implement first?

Correct Answer: D

Rationale: An occlusive dressing taped on three sides (
D) prevents air entry while allowing air exit, a priority. Notification (
A), shallow breaths (
B), and monitoring (
C) follow.

Question 2 of 5

The unlicensed assistive personnel (UAP) is bathing the client diagnosed with acute respiratory distress syndrome (ARDS). The bed is in a high position with the opposite side rail in the low position. Which action should the nurse implement?

A. Demonstrate the correct technique for giving a bed bath. B. Encourage the UAP to put the bed in the lowest position. C. Instruct the UAP to get another person to help with the bath. D. Provide praise for performing the bath safely for the client and the UAP.

Correct Answer: B

Rationale: Lowering the bed (
B) prevents falls, critical for ARDS patients. Demonstration (
A), extra help (
C), and praise (
D) are inappropriate given safety concerns.

Question 3 of 5

The nurse is feeding a client diagnosed with aspiration pneumonia who becomes dyspneic, begins to cough, and is turning blue. Which nursing intervention should the nurse implement first?

A. Suction the client's nares. B. Turn the client to the side. C. Place the client in Trendelenburg position. D. Notify the health-care provider.

Correct Answer: B

Rationale: Dyspnea, coughing, and cyanosis suggest aspiration; turning to the side (
B) clears the airway, preventing further aspiration. Suctioning (
A), Trendelenburg (
C), and notification (
D) follow.

Question 4 of 5

A patient with asthma is prescribed to take inhaled Salmeterol and Fluticasone for long-term management of asthma. You observe the patient taking these medications. Which option below best describes the correct order in how to take these medications?

A. The patient inhales the Salmeterol first and then waits 5 minutes before inhaling the Fluticasone. B. The patient inhales the Fluticasone first and then waits 5 minutes before inhaling the Salmeterol. C. The patient inhales the Salmeterol first and then waits 1 minute before inhaling the Fluticasone. D. The patient inhales the Fluticasone and immediately inhales the Salmeterol.

Correct Answer: A

Rationale: Salmeterol, a long-acting bronchodilator, should be inhaled first to open the airways, followed by Fluticasone, a corticosteroid, after a 5-minute wait to ensure optimal delivery and reduce inflammation.

Question 5 of 5

How long after administering a tuberculin skin test should the nurse inspect the client's injection site?

A. 1 week B. 1 day C. 2 to 3 days D. 4 to 5 days

Correct Answer: C

Rationale: The tuberculin skin test reaction is typically read 48 to 72 hours (2 to 3 days) after administration to assess for induration.

NCLEX Respiratory Questions | Nurselytic

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