NCLEX-PN
NCLEX Questions Respiratory Questions
Extract:
Question 1 of 5
When performing the client's tracheostomy care, which nursing action is correct?
Correct Answer: C
Rationale: Attaching new ties before removing old ones ensures the tracheostomy tube remains secure, preventing accidental dislodgement.
Question 2 of 5
An adult is admitted with chronic obstructive pulmonary disease [COPD]. The nurse notes that he has neck vein distention and slight peripheral edema. The practical nurse notifies the registered nurse and continues frequent assessments because the nurse knows that these signs signal the onset of which of the following?
Correct Answer: B
Rationale: Neck vein distention and peripheral edema indicate right-sided heart failure, or cor pulmonale, caused by pulmonary hypertension in COPD.
Question 3 of 5
A patient is presenting with chronic obstructive pulmonary disease. The patient has a chronic productive cough with dyspnea on excretion. Arterial blood gases show a low oxygen level and high carbon dioxide level in the blood. On assessment, the patient has cyanosis in the lips and edema in the abdomen and legs. Based on your nursing knowledge and the patient's symptoms, you suspect the patient suffers from what type of COPD?
Correct Answer: C
Rationale: Chronic bronchitis , a type of COPD, is characterized by chronic productive cough, hypoxemia, hypercapnia, cyanosis, and edema from right heart failure. Emphysema typically shows barrel chest, pneumonia is an infection, and pneumothorax involves lung collapse.
Question 4 of 5
Which option below is considered a positive Homan's Sign for the assessment of a deep vein thrombosis (DVT)?
Correct Answer: A
Rationale: Homan's Sign is NOT reliable because of false positives, but know for exams how to elicit a response. It done by manually (forced) dorsiflexing the patient's foot (bending it up towards the shin) and if it causes the patient pain it considered a positive Homan's Sign. However, the MD must further investigate if the patient has a DVT.
Question 5 of 5
Which statement made by the client indicates the nurse's discharge teaching is effective for the client diagnosed with COPD?
Correct Answer: A
Rationale: Annual flu vaccines (
A) reduce COPD exacerbation risk, even in shortages. Pneumonia vaccines (
B) are not yearly, smoking reduction (
C) is insufficient, and fluid restriction (
D) is incorrect.