NCLEX-PN
Respiratory System NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse suspects the client may be developing ARDS. Which assessment data confirm the diagnosis of ARDS?
Correct Answer: A
Rationale: Refractory hypoxemia (
A) despite high oxygen confirms ARDS. Dyspnea/tachycardia (
B) are nonspecific, clear sounds/95% SpO2 (
C) are normal, and JVD/sputum (
D) suggest heart failure.
Question 2 of 5
The nurse writes a problem of 'impaired gas exchange' for a client diagnosed with cancer of the lung. Which interventions should be included in the plan of care? Select all that apply.
Correct Answer: A,D,E
Rationale: Oxygen (
A), fever assessment (
D), and lung sounds (E) address gas exchange in lung cancer. Small meals (
B) aid nutrition, not gas exchange, and isolation (
C) is unnecessary.
Question 3 of 5
Which of the following statements are incorrect about discharge teaching that you would provide to a patient with COPD? Select-all-that-apply:
Correct Answer: A,C
Rationale: Eating small, frequent meals (not three large meals,
A) prevents diaphragm compression, and Pneumovax is not annual but given once or as per guidelines. Avoiding extreme weather and smoking cessation are correct.
Question 4 of 5
The alert and oriented client is diagnosed with a spontaneous pneumothorax, and the healthcare provider is preparing to insert a left-sided chest tube. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Informed consent (
B) is required before invasive procedures, a priority. Gathering supplies (
A), positioning (
C), and discussion (
D) follow.
Question 5 of 5
When caring for a client with allergies, which nursing assessment finding is an early indication that the client is developing anaphylaxis?
Correct Answer: A
Rationale: Breathing difficulty is an early sign of anaphylaxis, indicating airway constriction or swelling, which requires immediate intervention.