NCLEX-PN
NCLEX Respiratory Questions Questions
Extract:
Question 1 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?
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 2 of 5
The client is admitted to emergency department complaining of shortness of breath and fever. The vital signs are T 100.4°F, P 94, R 26, and BP 134/86. Which concept should the nurse identify as a concern for the client? Select all that apply.
Correct Answer: B,C
Rationale: SOB and tachypnea (
B) suggest oxygenation issues, and fever (
C) indicates infection. Clotting (
A), perfusion (
D), and coping (E) are not primary based on data.
Question 3 of 5
The physician orders the patient to start taking Omalizumab. How will you administer this medication as the nurse?
Correct Answer: D
Rationale: Omalizumab is administered subcutaneously for asthma treatment.
Question 4 of 5
Which clinical manifestation would the nurse assess in the client newly diagnosed with intrinsic lung cancer?
Correct Answer: C
Rationale: Hoarseness (
C) is a common early symptom of intrinsic lung cancer due to tumor compression of the recurrent laryngeal nerve. Dysphagia (
A) is more typical of esophageal involvement. Foul-smelling breath (
B) is non-specific. Weight loss (
D) occurs later in advanced disease.
Question 5 of 5
The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Brain metastasis impairs cognition, making driving unsafe (
C). Advance directives (
A), chemotherapy (
B), and proxy decisions (
D) are secondary or inappropriate.