NCLEX-PN
NCLEX Questions Respiratory Questions
Extract:
Question 1 of 5
The nurse observes the unlicensed assistive personnel (UAP) entering an airborne isolation room and leaving the door open. Which action is the nurse's best response?
Correct Answer: A
Rationale: Closing the door (
A) maintains airborne precautions, and discussing later ensures education without disrupting care. Reentering (
B) is unnecessary, reporting (
C) escalates prematurely, and discussing inside (
D) risks exposure.
Question 2 of 5
Which discharge instruction is most appropriate for reducing the client's fatigue and shortness of breath during mealtimes?
Correct Answer: C
Rationale: Frequent, small meals reduce the energy required for digestion, minimizing fatigue and shortness of breath in COPD clients.
Question 3 of 5
Which diagnostic test should the nurse anticipate the health-care provider ordering to rule out the diagnosis of asthma in clients diagnosed with chronic obstructive pulmonary disease (COPD)?
Correct Answer: D
Rationale: A bronchodilator reversibility test differentiates asthma from COPD by assessing whether airway obstruction is reversible. In asthma, lung function (e.g., FEV1) improves significantly post-bronchodilator, while COPD shows minimal improvement. Bronchoscopy (
A) is invasive and not specific for this differentiation. Immunoglobulin E (
B) is relevant for allergies, not distinguishing asthma from COPD. Arterial blood gases (
C) assess oxygenation but do not differentiate these conditions.
Question 4 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 5 of 5
The nurse observes the unlicensed assistive personnel (UAP) entering an airborne isolation room and leaving the door open. Which action is the nurse's best response?
Correct Answer: A
Rationale: Closing the door (
A) maintains airborne precautions, and discussing later ensures education without disrupting care. Reentering (
B) is unnecessary, reporting (
C) escalates prematurely, and discussing inside (
D) risks exposure.