NCLEX-PN
Respiratory System NCLEX Questions Questions
Extract:
Question 1 of 5
When caring for a client with allergies, which nursing assessment finding is an early indication that the client is developing anaphylaxis?
Correct Answer: A
Rationale: Breathing difficulty is an early sign of anaphylaxis, indicating airway constriction or swelling, which requires immediate intervention.
Question 2 of 5
The nurse is caring for a client diagnosed with pneumonia who is having shortness of breath and difficulty breathing. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Administering oxygen (
C) is the first intervention for a pneumonia patient with shortness of breath to correct hypoxemia, per the ABCs (airway, breathing, circulation). Checking pulse oximetry (
B) assesses oxygenation but delays treatment. Vital signs (
A) and notifying the therapist (
D) are secondary to immediate oxygen delivery.
Question 3 of 5
The client diagnosed with cancer of the larynx has had four (4) weeks of radiation therapy to the neck. The client is complaining of severe pain when swallowing. Which scientific rationale explains the pain?
Correct Answer: D
Rationale: Radiation causes esophageal mucositis/ulcerations (
D), leading to painful swallowing. Obstruction (
A), edema (
B), and cancer pain (
C) are less likely causes.
Question 4 of 5
The alert and oriented client is diagnosed with a spontaneous pneumothorax, and the healthcare provider is preparing to insert a left-sided chest tube. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Informed consent (
B) is required before invasive procedures, a priority. Gathering supplies (
A), positioning (
C), and discussion (
D) follow.
Question 5 of 5
Which pulse oximetry reading indicates to the nurse that the client has normal tissue oxygenation?
Correct Answer: D
Rationale: A pulse oximetry reading of 95% to 100% indicates normal tissue oxygenation, reflecting adequate oxygen saturation.