NCLEX-PN
NCLEX Respiratory Questions Questions
Extract:
Question 1 of 5
Which assessment data indicate to the nurse the client diagnosed with ARDS has experienced a complication secondary to the ventilator?
Correct Answer: C
Rationale: Asymmetrical chest expansion (
C) suggests pneumothorax, a ventilator complication. Low urine (
A), SpO2 >95% (
B), and tachycardia (
D) are unrelated or expected.
Question 2 of 5
Which nursing assessment is most important when caring for a client experiencing a severe allergic reaction?
Correct Answer: C
Rationale: Monitoring respiratory status is critical during a severe allergic reaction, as anaphylaxis can cause airway obstruction and respiratory distress.
Question 3 of 5
The nurse is caring for the postoperative client diagnosed with lung cancer recovering from a thoracotomy. Which data require immediate intervention by the nurse?
Correct Answer: D
Rationale: Pink frothy sputum (
D) suggests pulmonary edema, a life-threatening complication post-thoracotomy, requiring immediate intervention. Refusing exercises (
A) needs addressing but is not urgent. Sore throat/hoarseness (
B) may be from intubation, not critical. Crackles clearing with cough (
C) are benign.
Question 4 of 5
A client is admitted with a diagnosis of cancer of the larynx. Which statement made by the client is most likely related to the cause of his illness?
Correct Answer: B
Rationale: Cigarette smoking is the greatest risk factor for laryngeal cancer due to chronic exposure to carcinogens.
Question 5 of 5
When caring for a client with a flail chest, which nursing action is most appropriate?
Correct Answer: C
Rationale: Applying a chest binder stabilizes the flail chest, reducing paradoxical chest movement and improving ventilation.