NCLEX Questions Respiratory

Extract:

Question 1 of 5

Which assessment data indicate to the nurse the chest tubes inserted three (3) days ago have been effective in treating the client with a hemothorax?

Correct Answer: B

Rationale: No tidaling (
B) indicates lung re-expansion, showing effective hemothorax treatment. Bubbling (
A) suggests air leak, drainage (
C) is expected, and pain-free breathing (
D) is secondary.

Question 2 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?

A. Emphysema B. Pneumonia C. Chronic bronchitis D. Pneumothorax

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 3 of 5

A patient receiving medical treatment for an active tuberculosis infection asks when she can starting going out in public again. You respond that she is no longer contagious when:

A. She has 3 negative sputum cultures B. Her signs and symptoms improve C. She has completed the full medication regime D. Her chest x-ray is normal E. She has been on tuberculosis medications for about 3 weeks

Correct Answer: A,B,E

Rationale: These are all criteria for when a patient with active TB can return to public life (school, work, running errands). Until then they are still contagious and must stay home in isolation.

Question 4 of 5

Which time of day is best for the nurse to obtain a sputum specimen from the client?

A. Before bedtime B. After a meal C. Between meals D. On awakening

Correct Answer: D

Rationale: Sputum is most concentrated and easier to collect on awakening due to accumulation overnight.

Question 5 of 5

The client diagnosed with oat cell carcinoma of the lung tells the nurse, 'I am so tired of all this. I might as well just end it all.' Which statement should be the nurse's first response?

A. Say, 'This must be hard for you. Would you like to talk?' B. Tell the HCP of the client's statement. C. Refer the client to a social worker or spiritual advisor. D. Find out if the client has a plan to carry out suicide.

Correct Answer: A

Rationale: Acknowledging feelings and offering to talk (
A) opens communication for suicidal ideation. Notifying HCP (
B), referring (
C), and assessing plans (
D) follow.

NCLEX Questions Respiratory | Nurselytic

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