Respiratory NCLEX Questions

Extract:

Question 1 of 5

Where on the client should the nurse position the sensor of the pulse oximeter to obtain an accurate measurement?

Correct Answer: A

Rationale: The finger is the most common and reliable site for pulse oximetry, providing accurate oxygenation readings.

Question 2 of 5

You're developing a plan of care for a patient who is at risk for the development of a deep vein thrombosis after surgery. What nursing intervention below would the nurse NOT include in the patient's plan of care to prevent DVT formation?

A. The patient will eat all meals out of the bed daily by sitting in the bedside chair. B. The nurse will apply sequential compression devices (SCDs) per physician's order to the patient's lower extremities every night at bedtime. C. The nurse will administer per physician's order Enoxaparin in the subcutaneous tissue of the abdomen. D. The patient will ambulate daily.

Correct Answer: B

Rationale: Yes, the nurse would apply SCDs per MD order to help prevent DVTs, BUT they are to be applied and worn by the patient anytime they are in bed or sitting. The only time a patient should not wear the SCDs is when they're ambulating.
Therefore, the nurse would NOT just apply them at bedtime but during the day too.

Question 3 of 5

Which statement indicates to the nurse the client diagnosed with asthma understands the teaching regarding mast cell stabilizer medications?

A. I should take two (2) puffs when I begin to have an asthma attack. B. I must taper off the medications and not stop taking them abruptly. C. These drugs will be most effective if taken at bedtime. D. These drugs are not good at the time of an attack.

Correct Answer: D

Rationale: Mast cell stabilizers (
D) prevent asthma by stabilizing mast cells, not treating acute attacks. Puffs during attack (
A), tapering (
B), and bedtime use (
C) are incorrect.

Question 4 of 5

You're providing discharge teaching to a patient who was admitted with asthma. You discussed the early warning signs of an asthma attack and ask the patient to list some of them. Select all the correct early warning signs verbalized by the patient:

A. Easily fatigued with physical activity B. Reduced peak flow meter reading C. Chest retractions D. Cyanosis E. Wheezing with activity F. Nighttime coughing G. No relief with short-acting bronchodilator inhaler

Correct Answer: A,B,E,F

Rationale: Early warning signs include fatigue, reduced peak flow, wheezing with activity, and nighttime coughing. Chest retractions, cyanosis, and no relief from a bronchodilator indicate a more severe attack.

Question 5 of 5

The client experiencing a severe allergic reaction becomes pulseless. The nurse shakes the client, shouts the client's name, and activates the emergency medical response system. Which nursing action becomes the next priority?

A. Administer a single blow to the sternum. B. Give two quick breaths that make the chest visibly rise. C. Begin chest compressions at a rate of 100 per minute. D. Administer an epinephrine (Adrenalin) injection.

Correct Answer: C

Rationale: For a pulseless client, starting chest compressions immediately after activating the emergency response is the priority to restore circulation, per CPR guidelines.

Respiratory NCLEX Questions | Nurselytic

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