NCLEX-PN
NCLEX Respiratory Questions Questions
Extract:
Question 1 of 5
The nurse suspects the client admitted with a near-drowning is developing acute respiratory distress syndrome (ARDS). Which data support the nurse's suspicion?
Correct Answer: C
Rationale: Intercostal retractions and accessory muscle use (
C) indicate severe respiratory distress, consistent with ARDS due to increased work of breathing from reduced lung compliance. Normal ABGs (
A) contradict ARDS, which involves hypoxia. Anxiety, dyspnea, and tachypnea (
B) are non-specific. Crackles and rhonchi (
D) may occur but are less specific than physical signs of distress.
Question 2 of 5
The unlicensed assistive personnel (UAP) is bathing the client diagnosed with acute respiratory distress syndrome (ARDS). The bed is in a high position with the opposite side rail in the low position. Which action should the nurse implement?
Correct Answer: B
Rationale: Lowering the bed (
B) prevents falls, critical for ARDS patients. Demonstration (
A), extra help (
C), and praise (
D) are inappropriate given safety concerns.
Question 3 of 5
The physician orders the patient to start taking Omalizumab. How will you administer this medication as the nurse?
Correct Answer: D
Rationale: Omalizumab is administered subcutaneously for asthma treatment.
Question 4 of 5
Which nursing measure is most helpful in reducing the client's anxiety during an asthma attack?
Correct Answer: B
Rationale: Remaining within the client's view provides reassurance and reduces anxiety by ensuring the client feels supported during an asthma attack.
Question 5 of 5
Which nursing assessment is most important when caring for a client experiencing a severe allergic reaction?
Correct Answer: C
Rationale: Monitoring respiratory status is critical during a severe allergic reaction, as anaphylaxis can cause airway obstruction and respiratory distress.