NCLEX-PN
Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is preparing to administer the oral anticoagulant warfarin (Coumadin) to a client who has a PT/PTT of 22/39 and an INR of 2.8. What action should the nurse implement?
Correct Answer: C
Rationale: INR 2.8 (
C) is therapeutic for PE (2–3), so administer warfarin. Bleeding assessment (
A) is routine, vitamin K (
B) reverses overdose, and increasing dose (
D) is unnecessary.
Question 2 of 5
The nurse is assessing the client with COPD. Which health promotion information is most important for the nurse to obtain?
Correct Answer: C
Rationale: Correct inhaler use (
C) ensures effective COPD management, a priority for health promotion. Smoking history (
A), risk factors (
B), and lifestyle (
D) are important but secondary.
Question 3 of 5
The client admitted for recurrent aspiration pneumonia is at risk for bronchiectasis. Which intervention should the nurse anticipate the health-care provider to order?
Correct Answer: D
Rationale: Recurrent aspiration pneumonia predisposes to bronchiectasis due to chronic airway damage. Turning, coughing, and deep breathing (
D) prevent secretion stasis and further infections. Antibiotics (
A) treat active infection, not prevention. TPN (
B) is for malnutrition, not directly related. Dietary restrictions (
C) are irrelevant.
Question 4 of 5
You're providing discharge teaching to a patient who was admitted with asthma. You discussed the early warning signs of an asthma attack and ask the patient to list some of them. Select all the correct early warning signs verbalized by the patient:
Correct Answer: A,B,E,F
Rationale: Early warning signs include fatigue, reduced peak flow, wheezing with activity, and nighttime coughing. Chest retractions, cyanosis, and no relief from a bronchodilator indicate a more severe attack.
Question 5 of 5
A patient has exercise-induced asthma. Which of the following actions can the patient perform to help prevent an attack during exercise. Select all that apply:
Correct Answer: B,D
Rationale: Using a short-acting beta agonist before exercise and avoiding exercise during respiratory illness help prevent exercise-induced asthma attacks. Warming up is beneficial, and post-exercise beta agonists are not preventive.