Respiratory NCLEX Questions

Extract:

Question 1 of 5

The nurse is completing the admission assessment on a 13-year-old client diagnosed with an acute exacerbation of asthma. Which signs and symptoms would the nurse expect to find?

Correct Answer: C

Rationale: Asthma exacerbation causes dyspnea and wheezing (
C) from bronchoconstriction. Fever/crepitus (
A), rales/hives (
B), and normal breathing (
D) are unrelated or incorrect.

Question 2 of 5

The nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a surgical floor. Which information provided by the UAP requires immediate intervention by the nurse?

A. There is a small, continuous amount of bright-red drainage coming out from under the dressing of the client who had a radical neck dissection. B. The client who has had a right upper lobectomy is complaining that the patient-controlled analgesia (PCA) pump is not providing any relief. C. The client diagnosed with cancer of the lung is complaining of being tired and short of breath. D. The client admitted with chronic obstructive pulmonary disease is making a whistling sound with every breath.

Correct Answer: A

Rationale: Bright-red drainage post-neck dissection (
A) suggests hemorrhage, requiring immediate action. PCA failure (
B), fatigue/SOB (
C), and wheezing (
D) are expected or less urgent.

Question 3 of 5

The client experiencing a severe allergic reaction becomes pulseless. The nurse shakes the client, shouts the client's name, and activates the emergency medical response system. Which nursing action becomes the next priority?

A. Administer a single blow to the sternum. B. Give two quick breaths that make the chest visibly rise. C. Begin chest compressions at a rate of 100 per minute. D. Administer an epinephrine (Adrenalin) injection.

Correct Answer: C

Rationale: For a pulseless client, starting chest compressions immediately after activating the emergency response is the priority to restore circulation, per CPR guidelines.

Question 4 of 5

A patient is being discharged home on Doxycycline for treatment of pneumonia. Which statement by the patient indicates they understood your education material?

A. I will wear sunscreen when outdoors.' B. I will avoid green leafy vegetables while taking this medication.' C. I will monitor my blood glucose regularly due to the side effects of hypoglycemia.' D. I will take this medication with a full glass of milk.'

Correct Answer: A

Rationale: Doxycycline causes photosensitivity, so wearing sunscreen is correct. Green leafy vegetables are relevant for warfarin, hypoglycemia is not a side effect, and milk can reduce doxycycline absorption.

Question 5 of 5

Which arterial blood gas (ABG) results support the diagnosis of acute respiratory distress syndrome (ARDS) after the client has received O2 at 10 LPM?

A. pH 7.38, Pao2 94, Paco2 44, Hco3 24. B. pH 7.46, Pao2 82, Paco2 34, Hco3 22. C. pH 7.48, Pao2 59, Paco2 30, Hco3 26. D. pH 7.33, Pao2 94, Paco2 44, Hco3 20.

Correct Answer: C

Rationale: ARDS is characterized by severe hypoxemia despite high oxygen delivery. Pao2 59 (
C) despite 10 LPM oxygen indicates refractory hypoxia, a hallmark of ARDS. Normal Pao2 (94 in A and
D) contradicts ARDS. Pao2 82 (
B) is low but not as severe as 59, making C the best indicator of ARDS.

Respiratory NCLEX Questions | Nurselytic

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