NCLEX Questions Respiratory

Extract:

Question 1 of 5

The nurse is caring for the client diagnosed with pneumonia. Which information should the nurse include in the teaching plan? Select all that apply.

Correct Answer: B,E

Rationale: Rest periods (
B) conserve energy, and pulse oximetry (E) monitors oxygenation in pneumonia. Oxygen (
A) depends on SpO2, fluid restriction (
C) is inappropriate, and smoking (
D) must stop.

Question 2 of 5

An adult is admitted with chronic obstructive pulmonary disease [COPD]. The nurse notes that he has neck vein distention and slight peripheral edema. The practical nurse notifies the registered nurse and continues frequent assessments because the nurse knows that these signs signal the onset of which of the following?

A. Pneumothorax B. Cor pulmonale C. Cardiogenic shock D. Left-sided heart failure

Correct Answer: B

Rationale: Neck vein distention and peripheral edema indicate right-sided heart failure, or cor pulmonale, caused by pulmonary hypertension in COPD.

Question 3 of 5

The nurse and a licensed practical nurse (LPN) are caring for five (5) clients on a medical unit. Which clients would the nurse assign to the LPN? Select all that apply.

A. The 32-year-old female diagnosed with exercise-induced asthma who has a forced vital capacity of 1,000 mL. B. The 45-year-old male with adult-onset asthma who is complaining of difficulty completing all of the ADLs at one time. C. The 92-year-old client diagnosed with respiratory difficulty who is beginning to be confused and keeps climbing out of bed. D. The 6-year-old client diagnosed with intrinsic asthma who is scheduled for discharge and the mother needs teaching about the medications. E. The 20-year-old client diagnosed with asthma who has a pulse oximetry reading of 95% and wants to sleep all the time.

Correct Answer: B,E

Rationale: Stable asthma clients with ADL difficulty (
B) and normal SpO2 (E) are suitable for LPN care. Low FVC (
A), confusion (
C), and discharge teaching (
D) require RN assessment.

Question 4 of 5

Which question is most important for the nurse to ask the client at this time?

A. When did you last take your prescribed medications? B. Have you taken all your medications as prescribed? C. How many drug refills have you obtained? D. Have you experienced any drug side effects?

Correct Answer: B

Rationale: Asking if the client has taken all medications as prescribed assesses adherence, which is critical for tuberculosis treatment efficacy.

Question 5 of 5

The nurse is preparing the plan of care for the client who had a pleurodesis. Which collaborative intervention should the nurse include?

A. Monitor the amount and color of drainage from the chest tube. B. Perform a complete respiratory assessment every two (2) hours. C. Administer morphine sulfate, an opioid analgesic, intravenously. D. Keep a sterile dressing and bottle of sterile normal saline at the bedside.

Correct Answer: A

Rationale: Pleurodesis involves sclerosing the pleural space to prevent fluid reaccumulation, often requiring a chest tube. Monitoring drainage amount and color (
A) is a collaborative intervention to assess procedure success and detect complications. Respiratory assessment (
B) and morphine administration (
C) are nursing or medical orders, not collaborative. Keeping sterile supplies (
D) is preparatory, not a primary intervention.

NCLEX Questions Respiratory | Nurselytic

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