NCLEX-PN
NCLEX Respiratory Questions Questions
Extract:
Question 1 of 5
The nurse is caring for the postoperative client diagnosed with lung cancer recovering from a thoracotomy. Which data require immediate intervention by the nurse?
Correct Answer: D
Rationale: Pink frothy sputum (
D) suggests pulmonary edema, a life-threatening complication post-thoracotomy, requiring immediate intervention. Refusing exercises (
A) needs addressing but is not urgent. Sore throat/hoarseness (
B) may be from intubation, not critical. Crackles clearing with cough (
C) are benign.
Question 2 of 5
Until the client can be examined later that morning, which advice by the nurse would be most helpful?
Correct Answer: B
Rationale: Resting the voice reduces strain on the vocal cords, which is beneficial for laryngitis and helps prevent further irritation.
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 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 5 of 5
Which data are significant when assessing a client diagnosed with rule-out Legionnaires' disease?
Correct Answer: B
Rationale: Symptoms like aching muscles, high fever, malaise, and coughing (
B) are characteristic of Legionnaires' disease, a severe pneumonia. Smoking history (
A) is non-specific. Exposure to Legionella (
C) is a risk factor, not a clinical datum. Decreased lung sounds (
D) are less specific than systemic symptoms.