Respiratory NCLEX Questions

Extract:

Question 1 of 5

The nurse observes the unlicensed assistive personnel (UAP) removing the nasal cannula from the client diagnosed with COPD while ambulating the client to the bathroom. Which action should the nurse implement?

Correct Answer: B

Rationale: COPD clients need continuous oxygen; replacing it (
B) corrects the error safely. Praising (
A) is incorrect, explaining in front of client (
C) is unprofessional, and escalating (
D) is premature.

Question 2 of 5

The client diagnosed with tonsillitis is scheduled to have surgery in the morning. Which assessment data should the nurse notify the health-care provider about prior to surgery?

A. The client has a hemoglobin of 12.2 g/dL and hematocrit of 36.5%. B. The client has an oral temperature of 100.2°F and a dry cough. C. There are one (1) to two (2) white blood cells (WBCs) in the urinalysis. D. The client's current international normalized ratio (INR) is 1.

Correct Answer: B

Rationale: Fever (100.2°F) and cough (
B) suggest infection, a surgical risk requiring HCP notification. Hb/Hct (
A) are near normal, WBCs in urine (
C) are insignificant, and INR 1 (
D) is normal.

Question 3 of 5

You're developing a plan of care for a patient who is at risk for the development of a deep vein thrombosis after surgery. What nursing intervention below would the nurse NOT include in the patient's plan of care to prevent DVT formation?

A. The patient will eat all meals out of the bed daily by sitting in the bedside chair. B. The nurse will apply sequential compression devices (SCDs) per physician's order to the patient's lower extremities every night at bedtime. C. The nurse will administer per physician's order Enoxaparin in the subcutaneous tissue of the abdomen. D. The patient will ambulate daily.

Correct Answer: B

Rationale: Yes, the nurse would apply SCDs per MD order to help prevent DVTs, BUT they are to be applied and worn by the patient anytime they are in bed or sitting. The only time a patient should not wear the SCDs is when they're ambulating.
Therefore, the nurse would NOT just apply them at bedtime but during the day too.

Question 4 of 5

The day shift charge nurse on a medical unit is making rounds after report. Which client should be seen first?

A. The 65-year-old client diagnosed with tuberculosis who has a sputum specimen to be sent to the laboratory. B. The 76-year-old client diagnosed with aspiration pneumonia who has a clogged feeding tube. C. The 45-year-old client diagnosed with pneumonia who has a pulse oximetry reading of 92%. D. The 39-year-old client diagnosed with bronchitis who has an arterial oxygenation level of 89%.

Correct Answer: D

Rationale: SpO2 89% (
D) indicates significant hypoxia, requiring immediate assessment. TB sputum (
A), clogged tube (
B), and SpO2 92% (
C) are less urgent.

Question 5 of 5

The nurse is applying oxygen via nasal cannula to a client diagnosed with chronic obstructive pulmonary disease (COPD). The client complains of extreme shortness of breath. At which rate should the nurse set the flowmeter?

A. 2 LPM. B. 4 LPM. C. 6 LPM. D. 10 LPM.

Correct Answer: A

Rationale: COPD clients require low-flow oxygen (2 LPM,
A) to avoid CO2 retention. Higher rates (B, C,
D) risk respiratory drive suppression.

Respiratory NCLEX Questions | Nurselytic

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