NCLEX Respiratory Questions

Extract:

Question 1 of 5

When suctioning the airway of a client with a tracheostomy, the nurse applies suction for no longer than how many seconds?

Correct Answer: B

Rationale: Suctioning for 10 to 12 seconds minimizes the risk of hypoxia and mucosal trauma.

Question 2 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 3 of 5

The nurse is discharging a client newly diagnosed with restrictive airway disease (asthma). Which statement indicates the client understands the discharge instructions?

A. I will call 911 if my medications don't control an attack. B. I will wash my bedding in warm water. C. I can still eat at the Chinese restaurant when I want. D. If I get a headache, I should take a nonsteroidal anti-inflammatory drug.

Correct Answer: A

Rationale: Calling 911 for uncontrolled asthma (
A) shows understanding of emergency action. Warm water (
B) is insufficient (hot water needed), Chinese food (
C) may contain MSG, and NSAIDs (
D) can trigger asthma.

Question 4 of 5

Which oxygen flow rate is most appropriate for the nurse to administer for this client?

A. 2 L/minute B. 5 L/minute C. 8 L/minute D. 10 L/minute

Correct Answer: A

Rationale: A low flow rate of 2 L/minute is appropriate for COPD clients to avoid suppressing the hypoxic drive while improving oxygenation.

Question 5 of 5

Which referral is most appropriate for a client diagnosed with end-stage COPD?

A. The Asthma Foundation of America. B. The American Cancer Society. C. The American Lung Association. D. The American Heart Association.

Correct Answer: C

Rationale: The American Lung Association (
C) supports COPD patients with resources. Asthma Foundation (
A), Cancer Society (
B), and Heart Association (
D) are less relevant.

NCLEX Respiratory Questions | Nurselytic

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