Respiratory NCLEX Questions

Extract:

Question 1 of 5

The nurse observes the client sitting on the side of the bed with the arms propped on the over-bed table. The chest is barrel shaped and the client is breathing though lips spaced close together and is exhaling slowly. Which concept is priority for this client?

Correct Answer: D

Rationale: Tripod position, barrel chest, and pursed-lip breathing (
D) indicate COPD with oxygenation as the priority. Mobility (
A), nutrition (
B), and activity (
C) are secondary.

Question 2 of 5

After administering the first puff of medication, what client action demonstrates proper use of the inhaler?

A. The client depresses the canister a second time before exhaling. B. The client holds his or her breath for up to 10 seconds before exhaling. C. The client cleans the mouthpiece with a clean paper tissue or cloth. D. The client bends from the waist to increase the exhaled volume.

Correct Answer: B

Rationale: Holding the breath for up to 10 seconds after inhaling allows the medication to deposit in the lungs effectively.

Question 3 of 5

The nurse is presenting a class on chest tubes. Which statement best describes a tension pneumothorax?

A. A tension pneumothorax develops when an air-filled bleb on the surface of the lung ruptures. B. When a tension pneumothorax occurs, the air moves freely between the pleural space and the atmosphere. C. The injury allows air into the pleural space but prevents it from escaping from the pleural space. D. A tension pneumothorax results from a puncture of the pleura during a central line placement.

Correct Answer: C

Rationale: Tension pneumothorax traps air in the pleural space (
C), increasing pressure. Bleb rupture (
A) causes simple pneumothorax, free air movement (
B) is open pneumothorax, and central line (
D) is a cause, not definition.

Question 4 of 5

A farmer who has had a cough for several months has noticed a lack of energy lately. He is being tested for histoplasmosis. Which factor reported by the client would be most related to the diagnosis of histoplasmosis?

A. He drinks raw milk. B. He cleans chicken houses. C. He handles fertilizer frequently. D. He stepped on a rusty nail recently.

Correct Answer: B

Rationale: Cleaning chicken houses exposes the client to bird droppings, a common source of Histoplasma capsulatum, the fungus causing histoplasmosis.

Question 5 of 5

The client experiencing a severe allergic reaction becomes pulseless. The nurse shakes the client, shouts the client's name, and activates the emergency medical response system. Which nursing action becomes the next priority?

A. Administer a single blow to the sternum. B. Give two quick breaths that make the chest visibly rise. C. Begin chest compressions at a rate of 100 per minute. D. Administer an epinephrine (Adrenalin) injection.

Correct Answer: C

Rationale: For a pulseless client, starting chest compressions immediately after activating the emergency response is the priority to restore circulation, per CPR guidelines.

Respiratory NCLEX Questions | Nurselytic

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