NCLEX-PN
Respiratory System NCLEX Questions Questions
Extract:
Question 1 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 2 of 5
A patient was admitted to the intensive care unit 48 hours ago for treatment of a gunshot wound. The patient has recently developed a productive cough and a fever of 104.3 ' $F$. The patient is breathing on their own and doesn't require mechanical ventilation. On assessment, you note coarse crackles in the right lower lobe. A chest x-ray shows infiltrates with consolidation in the right lower lobe. Based on this specific patient scenario, this is known as what type of pneumonia?
Correct Answer: C
Rationale: Hospital-acquired pneumonia (HAP) develops 48 hours or more after hospital admission, as seen in this patient. Aspiration pneumonia is linked to inhaling foreign material, ventilator-acquired pneumonia requires mechanical ventilation, and community-acquired pneumonia occurs outside healthcare settings.
Question 3 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 4 of 5
If the client has sinusitis in the maxillary sinuses, where will the client most likely report feeling pain?
Correct Answer: B
Rationale: The maxillary sinuses are located in the cheek area, so pain from maxillary sinusitis is typically felt in the cheeks.
Question 5 of 5
Other than obtaining a vaccination against influenza, which nursing advice is most helpful to high-risk clients who want to avoid getting influenza?
Correct Answer: B
Rationale: Avoiding crowded places reduces exposure to influenza, a highly contagious respiratory virus.