Respiratory System NCLEX Questions

Extract:

Question 1 of 5

The nurse is planning the care of a client diagnosed with asthma and has written a problem of 'anxiety.' Which nursing intervention should be implemented?

Correct Answer: A

Rationale: Remaining with the client (
A) reduces anxiety through presence and reassurance. Notification (
B), anxiolytics (
C), and fluids (
D) are secondary or unrelated.

Question 2 of 5

Which symptom reported by the client to the nurse is the best indicator that complications are developing from this cold?

A. Visual stuffiness B. Dry cough C. High fever D. Scratchy throat

Correct Answer: C

Rationale: A high fever suggests a possible secondary bacterial infection or other complication, such as sinusitis or pneumonia, which is more serious than typical cold symptoms.

Question 3 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?

A. The client's first skin test indicates a purple flat area at the site of injection. B. The client's second skin test indicates a red area measuring four (4) mm. C. The client's previous skin test was read as positive. D. The client has never shown a reaction to the tuberculin medication.

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 4 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?

A. Release the suction by opening the vent B. Continue suctioning to remove the obstruction C. Increase the pressure D. Suction deeper

Correct Answer: A

Rationale: Releasing suction by opening the vent prevents trauma to the tracheal mucosa when the catheter adheres to the wall.

Question 5 of 5

Which statement below is incorrect about a deep vein thrombosis (DVT)?

A. Veins that are most susceptible to a deep vein thrombosis are the peroneal, posterior tibial, popliteal and superficial femoral. B. DVTs tend to mostly occur in the lower extremities but can occur in the upper extremities too. C. A deep vein thrombosis in the lower extremity has a low probability of becoming a pulmonary embolism. D. A DVT is a type of venous thromboembolism (VTE), which is a blood clot that starts in the vein.

Correct Answer: C

Rationale: This option is INCORRECT. All the other statements are true about a DVT. Option C is wrong because it should say: 'A deep vein thrombosis in the lower extremity has a HIGH (not low) probability of becoming a pulmonary embolism.'

Respiratory System NCLEX Questions | Nurselytic

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