NCLEX-RN
Adult Health II Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
When teaching a client with heart failure about preventing complications and future hospitalizations, which problems stated by the client as reasons to call the physician would indicate to the nurse that the client has understood the teaching? Select all that apply.
Correct Answer: A,B,D
Rationale: Shortness of breath at rest (
A), weight gain of 2 lb or more in 1 day (
B), and sleeping sitting up (
D) indicate worsening heart failure, requiring physician notification.
Question 2 of 5
The client has a nursing diagnosis of Self-care deficit related to the confinement of traction. Which of the following would indicate a successful outcome for this diagnosis?
Correct Answer: A
Rationale: Increased participation in self-care indicates progress toward independence despite traction limitations.
Question 3 of 5
A client in hospice care is experiencing noisy, gurgling respirations. The nurse should:
Correct Answer: C
Rationale: Noisy, gurgling respirations (death rattle) are best managed by repositioning to a lateral position to allow secretions to drain, improving comfort without invasive measures.
Question 4 of 5
A nurse is assessing a client with bone cancer pain. Which of the following components of a thorough pain assessment is most significant for this client?
Correct Answer: A
Rationale: Pain intensity is the most significant component in assessing bone cancer pain, as it guides the urgency and type of pain management interventions needed.
Question 5 of 5
An advantage of using biologic burn grafts such as porcine (pigskin) grafts is that they appear to help:
Correct Answer: B
Rationale: Porcine grafts act as a temporary biological dressing, promoting epithelial tissue growth by providing a protective barrier and stimulating healing. They do not form tough skin, provide permanent closure, or directly affect subcutaneous tissue.