NCLEX-PN
Respiratory System NCLEX Questions Questions
Extract:
Question 1 of 5
Which clinical manifestation should the nurse expect to assess in the client recently diagnosed with COPD?
Correct Answer: C
Rationale: Chronic sputum production (
C) is a hallmark of COPD (chronic bronchitis). Clubbing (
A) is late-stage, infections (
B) are frequent, and nonproductive cough (
D) is atypical.
Question 2 of 5
The client is three (3) days post-partial laryngectomy. Which type of nutrition should the nurse offer the client?
Correct Answer: D
Rationale: Clear liquids (
D) are safest 3 days post-laryngectomy to prevent aspiration. TPN (
A), soft diet (
B), and partial PN (
C) are premature or unnecessary.
Question 3 of 5
The nurse writes a problem of 'impaired gas exchange' for a client diagnosed with cancer of the lung. Which interventions should be included in the plan of care? Select all that apply.
Correct Answer: A,D,E
Rationale: Oxygen (
A), fever assessment (
D), and lung sounds (E) address gas exchange in lung cancer. Small meals (
B) aid nutrition, not gas exchange, and isolation (
C) is unnecessary.
Question 4 of 5
A 62-year-old man is admitted with emphysema and acute upper respiratory infection. Oxygen is ordered at 2 L/min. The reason for low-flow oxygen is to:
Correct Answer: C
Rationale: In COPD, low oxygen levels drive respiration. Low-flow oxygen prevents suppression of the respiratory drive, which could occur with high-flow oxygen.
Question 5 of 5
The client with ARDS is on a mechanical ventilator. Which intervention should be included in the nursing care plan addressing the endotracheal tube (ET) care?
Correct Answer: D
Rationale: Securing the ET tube (
D) prevents dislodgement, critical for ventilation. Avoiding movement (
A), daily CXR (
B), and cuff deflation (
C) are incorrect or secondary.