NCLEX-PN
Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
When administering oxygen to the client through a partial rebreathing mask, which observation is most important for the nurse to report to the respiratory therapy department?
Correct Answer: B
Rationale: A collapsing bag during inspiration indicates inadequate oxygen flow, which must be reported to ensure proper oxygen delivery.
Question 2 of 5
A patient has a positive PPD skin test that shows an 8 mm induration. As the nurse you know that:
Correct Answer: B
Rationale: A positive PPD test (8 mm induration) indicates TB exposure but does not confirm active disease. A chest X-ray and sputum culture are needed to differentiate latent from active TB before treatment or precautions are initiated.
Question 3 of 5
Which priority intervention should the nurse implement for the client diagnosed with coal workers' pneumoconiosis?
Correct Answer: B
Rationale: Black-streaked sputum (
B) is a hallmark of coal workers' pneumoconiosis due to coal dust deposition, making its assessment a priority to confirm disease impact. Intake/output (
A) is non-specific. Daily WBC counts (
C) are unnecessary unless infection is suspected. Activity level (
D) is secondary to symptom assessment.
Question 4 of 5
Which information should the nurse include in the teaching plan for the mother of a child diagnosed with cystic fibrosis (CF)? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Postural drainage (1) helps clear mucus in CF. Modifying activities for physiotherapy (2) ensures adherence. Recognizing infection signs (4) and avoiding respiratory infections (5) prevent exacerbations. One liter of fluid (3) is insufficient for children; fluid needs vary by age and size.
Question 5 of 5
An adult man has a tracheostomy tube in place. Which of the following actions is most appropriate for the nurse to take when suctioning the tracheostomy?
Correct Answer: B
Rationale: Suctioning should use sterile technique, with suction off during insertion and applied intermittently for no more than 10 seconds to prevent hypoxia and trauma.