NCLEX-PN
NCLEX Questions Respiratory Questions
Extract:
Question 1 of 5
The nurse is preparing the plan of care for the client who had a pleurodesis. Which collaborative intervention should the nurse include?
Correct Answer: A
Rationale: Pleurodesis involves sclerosing the pleural space to prevent fluid reaccumulation, often requiring a chest tube. Monitoring drainage amount and color (
A) is a collaborative intervention to assess procedure success and detect complications. Respiratory assessment (
B) and morphine administration (
C) are nursing or medical orders, not collaborative. Keeping sterile supplies (
D) is preparatory, not a primary intervention.
Question 2 of 5
While the nurse is suctioning a tracheostomy tube, the client starts to cough. What is the best action for the nurse to take?
Correct Answer: C
Rationale: Removing the suction quickly allows the client to cough out mucus naturally, preventing irritation or trauma.
Question 3 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 4 of 5
Which question is most important for the nurse to ask the client at this time?
Correct Answer: B
Rationale: Asking if the client has taken all medications as prescribed assesses adherence, which is critical for tuberculosis treatment efficacy.
Question 5 of 5
An adult is admitted with chronic obstructive pulmonary disease [COPD]. The nurse notes that he has neck vein distention and slight peripheral edema. The practical nurse notifies the registered nurse and continues frequent assessments because the nurse knows that these signs signal the onset of which of the following?
Correct Answer: B
Rationale: Neck vein distention and peripheral edema indicate right-sided heart failure, or cor pulmonale, caused by pulmonary hypertension in COPD.