NCLEX-PN
Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
The term 'blue bloaters' is used to describe patients with?
Correct Answer: C
Rationale: Blue bloaters' describes chronic bronchitis patients, who present with cyanosis ('blue') and edema ('bloating') due to hypoxemia and right heart failure. Emphysema patients are often called 'pink puffers.'
Question 2 of 5
Which action is most appropriate for the nurse to take before the bronchoscopy?
Correct Answer: A
Rationale: Keeping the client NPO for at least 6 hours prevents aspiration during bronchoscopy, which involves sedation.
Question 3 of 5
The nurse is caring for the client diagnosed with end-stage COPD. Which data warrant immediate intervention by the nurse?
Correct Answer: D
Rationale: Rusty sputum (
D) suggests hemoptysis or infection, a critical finding in end-stage COPD. SpO2 92% (
A), PaO2 74 (
B), and SOB (
C) are expected but less urgent.
Question 4 of 5
A patient's D-dimer result is <500 ng/mL (FEU). The nurse knows that the D-dimer assesses and this result means?
Correct Answer: D
Rationale: A d-dimer test assess fibrin degradation fragment. This test doesn't tell us where the clot may be (so it not specific) so it will need to be further investigated by the MD and a positive result doesn't necessarily mean the patient has a clot because some disease processes can cause a false positive. Also, a normal d-dimer is <500 ng/mL (FEU). However, it depends on how the lab reports the assay cut-off value for the d-dimer. Some labs have a cutoff <250 ng/mL (D-DU). However, <500 ng/mL (FEU) is equivalent to <250 ng/mL (D-DU).
Question 5 of 5
During the preoperative period, which nursing action will be of greatest priority for a person who is to have a laryngectomy?
Correct Answer: A
Rationale: Establishing a means of communication is the highest priority preoperatively, as the client will lose the ability to speak post-laryngectomy.