NCLEX-PN
Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
Which arterial blood gas (ABG) results support the diagnosis of acute respiratory distress syndrome (ARDS) after the client has received O2 at 10 LPM?
Correct Answer: C
Rationale: ARDS is characterized by severe hypoxemia despite high oxygen delivery. Pao2 59 (
C) despite 10 LPM oxygen indicates refractory hypoxia, a hallmark of ARDS. Normal Pao2 (94 in A and
D) contradicts ARDS. Pao2 82 (
B) is low but not as severe as 59, making C the best indicator of ARDS.
Question 2 of 5
Which priority intervention should the nurse implement for the client diagnosed with coal workers' pneumoconiosis?
Correct Answer: B
Rationale: Black-streaked sputum (
B) is a hallmark of coal workers' pneumoconiosis due to coal dust deposition, making its assessment a priority to confirm disease impact. Intake/output (
A) is non-specific. Daily WBC counts (
C) are unnecessary unless infection is suspected. Activity level (
D) is secondary to symptom assessment.
Question 3 of 5
Which assessment data indicate to the nurse the client diagnosed with Legionnaires' disease is experiencing a complication?
Correct Answer: B
Rationale: Oliguria (<30 mL/hr,
B) indicates renal failure, a serious complication of Legionnaires' disease due to systemic infection or shock. Fever (
A) and elevated WBC (
D) are expected in active infection, not complications. Decreased body aches (
C) suggests improvement, not a complication.
Question 4 of 5
The client in the intensive care unit diagnosed with end-stage chronic obstructive pulmonary disease has a Swan-Ganz mean pulmonary artery pressure of 35 mm Hg. Which health-care provider order would the nurse question?
Correct Answer: A
Rationale: A mean pulmonary artery pressure of 35 mm Hg indicates pulmonary hypertension, common in end-stage COPD. IV fluids at 125 mL/hr (
A) risk fluid overload and worsening right heart strain, so this order should be questioned. Oxygen (
B), telemetry (
C), and diuretics (
D) are appropriate to manage hypoxia, monitor cardiac status, and reduce fluid overload.
Question 5 of 5
The nurse is caring for the client diagnosed with bacterial pneumonia. Which priority intervention should the nurse implement?
Correct Answer: C
Rationale: Administering oxygen as prescribed (
C) is the priority for bacterial pneumonia to address hypoxemia, a common issue due to impaired gas exchange. Assessing respiratory rate (
A) is important but secondary to ensuring oxygenation. Rest (
B) and breathing techniques (
D) support recovery but are not the first priority.