NCLEX-PN
Respiratory System NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is developing a plan of care for a client diagnosed with laryngitis and identifies the client problem 'altered communication.' Which intervention should the nurse implement?
Correct Answer: C
Rationale: A note pad (
C) facilitates communication during laryngitis-related voice loss. Brandy/honey (
A) is unproven, whispering (
B) strains vocal cords, and permanent aphonia (
D) is unlikely.
Question 2 of 5
During suctioning of a tracheostomy tube, the catheter appears to attach to the tracheal wall and creates a pulling sensation. What is the best action for the nurse to take?
Correct Answer: A
Rationale: Releasing suction by opening the vent prevents trauma to the tracheal mucosa when the catheter adheres to the wall.
Question 3 of 5
The client is admitted to the outpatient surgery center for a bronchoscopy to rule out cancer of the lung. Which information should the nurse teach?
Correct Answer: C
Rationale: Bronchoscopy allows biopsy (
C) to diagnose lung cancer. It doesn’t confirm MRI (
A), requires NPO post-procedure (
B), and causes discomfort (
D).
Question 4 of 5
The employee health nurse is administering tuberculin skin testing to employees who have possibly been exposed to a client with active tuberculosis (Tb). Which statement indicates the need for radiological evaluation instead of skin testing?
Correct Answer: C
Rationale: A prior positive TB skin test (
C) indicates exposure, requiring CXR to assess active disease, not repeat skin testing. Purple area (
A) is normal, 4 mm (
B) is negative, and no reaction (
D) warrants testing.
Question 5 of 5
What is the best way to determine whether a client with a tracheostomy is becoming hypoxemic during suctioning?
Correct Answer: C
Rationale: Auscultating the respiratory rate detects changes in breathing patterns, indicating potential hypoxemia during suctioning.