NCLEX-PN
NCLEX Questions Respiratory Questions
Extract:
Question 1 of 5
The nurse is preparing the client diagnosed with laryngeal cancer for a laryngectomy in the morning. Which intervention is the nurse's priority?
Correct Answer: D
Rationale: Literacy (
D) ensures post-laryngectomy communication (e.g., writing), a priority. ICU visit (
A), pain requests (
B), and TED hose (
C) are secondary.
Question 2 of 5
When the nurse is teaching a client to self-administer nose drops, which head position is appropriate?
Correct Answer: C
Rationale: Tilting the head backward allows nose drops to reach the nasal passages effectively by gravity, ensuring proper distribution of the medication.
Question 3 of 5
The client who smokes two (2) packs of cigarettes a day develops ARDS after a near-drowning. The client asks the nurse, 'What is happening to me? Why did I get this?' Which statement by the nurse is most appropriate?
Correct Answer: C
Rationale: Fluid-filled lungs (
C) explain ARDS simply, addressing breathing issues. Drowning link (
A), permeability (
B), and smoking (
D) are less accurate or overly technical.
Question 4 of 5
Which of the following patients are MOST at risk for developing pneumonia? Select-all-that-apply:
Correct Answer: A,C,D
Rationale: Patients recovering from surgery are at risk due to immobility and impaired cough reflex, those with COPD have chronic lung disease increasing susceptibility, and infants with RSV are prone to secondary bacterial pneumonia. The vaccinated patient has reduced risk due to immunity.
Question 5 of 5
The nurse is preparing to administer warfarin (Coumadin), an oral anticoagulant, to a client diagnosed with a pulmonary embolus. Which data would cause the nurse to question administering the medication?
Correct Answer: B
Rationale: An INR of 5 (
B) is above the therapeutic range (2–3 for pulmonary embolus), indicating excessive anticoagulation and bleeding risk, so warfarin should be questioned. PTT (
A) is for heparin, not warfarin. PT (
C) alone is not standardized. ESR (
D) is irrelevant to anticoagulation.