NCLEX Respiratory Questions

Extract:

Question 1 of 5

When caring for a client with a flail chest, which nursing action is most appropriate?

Correct Answer: C

Rationale: Applying a chest binder stabilizes the flail chest, reducing paradoxical chest movement and improving ventilation.

Question 2 of 5

The client diagnosed with ARDS is in respiratory distress and the ventilator is malfunctioning. Which intervention should the nurse implement first?

A. Notify the respiratory therapist immediately. B. Ventilate with a manual resuscitation bag. C. Request STAT arterial blood gases. D. Auscultate the client's lung sounds.

Correct Answer: B

Rationale: Manual ventilation (
B) ensures oxygenation during ventilator failure, a priority. Notification (
A), ABGs (
C), and auscultation (
D) follow.

Question 3 of 5

A patient with asthma is prescribed to take inhaled Salmeterol and Fluticasone for long-term management of asthma. You observe the patient taking these medications. Which option below best describes the correct order in how to take these medications?

A. The patient inhales the Salmeterol first and then waits 5 minutes before inhaling the Fluticasone. B. The patient inhales the Fluticasone first and then waits 5 minutes before inhaling the Salmeterol. C. The patient inhales the Salmeterol first and then waits 1 minute before inhaling the Fluticasone. D. The patient inhales the Fluticasone and immediately inhales the Salmeterol.

Correct Answer: A

Rationale: Salmeterol, a long-acting bronchodilator, should be inhaled first to open the airways, followed by Fluticasone, a corticosteroid, after a 5-minute wait to ensure optimal delivery and reduce inflammation.

Question 4 of 5

Which nursing assessment is most important when caring for a client experiencing a severe allergic reaction?

A. Taking the client's temperature B. Assessing the client's blood pressure C. Monitoring the client's respiratory status D. Checking the client's pupillary response

Correct Answer: C

Rationale: Monitoring respiratory status is critical during a severe allergic reaction, as anaphylaxis can cause airway obstruction and respiratory distress.

Question 5 of 5

The client diagnosed with tuberculosis has been treated with antitubercular medications for six (6) weeks. Which data would indicate the medications have been effective?

A. A decrease in the white blood cells in the sputum. B. The client's symptoms are improving. C. No change in the chest X-ray. D. The skin test is now negative.

Correct Answer: B

Rationale: Improved symptoms (
B) after six weeks of TB treatment (e.g., reduced cough, fever) indicate medication efficacy. WBCs in sputum (
A) are not a standard measure. Chest X-ray changes (
C) lag behind clinical improvement. The skin test (
D) remains positive post-exposure, regardless of treatment.

NCLEX Respiratory Questions | Nurselytic

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