NCLEX-PN
NCLEX Questions Respiratory Questions
Extract:
Question 1 of 5
To evaluate the significance of the client's bleeding, which additional assessment is most important for the nurse to make at this time?
Correct Answer: D
Rationale: Measuring chest expansion helps assess for complications like pneumothorax, which could cause bleeding post-bronchoscopy.
Question 2 of 5
Which client problems are appropriate for the nurse to include in the plan of care for the client diagnosed with COPD? Select all that apply.
Correct Answer: A,C,D,E
Rationale: COPD causes impaired gas exchange (
A), activity intolerance (
C), role changes (
D), and nutritional issues (E) from energy demands. Temperature intolerance (
B) is not primary.
Question 3 of 5
The client diagnosed with chronic obstructive pulmonary disease (COPD) is admitted to the medical unit. The client has thin extremities, truncal obesity, and multiple ecchymotic areas on the arms. Based on the assessment data, which question should the nurse ask the client?
Correct Answer: A
Rationale: Thin limbs, truncal obesity, and ecchymosis (
A) suggest corticosteroid use (e.g., prednisone) in COPD. Abuse (
B), pressure ulcers (
C), and HOB elevation (
D) are less likely.
Question 4 of 5
Before discharging a client with fractured ribs from the emergency department, which instruction is most important for the nurse to give the client?
Correct Answer: B
Rationale: Taking deep breaths periodically prevents atelectasis and pneumonia, which are risks with fractured ribs due to shallow breathing.
Question 5 of 5
Based on the client's clinical presentation, which drug should the nurse anticipate will be administered intravenously?
Correct Answer: A
Rationale: Heparin is the standard anticoagulant used to prevent further clot formation in pulmonary embolism.