NCLEX-PN
Respiratory System NCLEX Questions Questions
Extract:
Question 1 of 5
Which collaborative intervention should the nurse implement when caring for the client diagnosed with bronchiectasis?
Correct Answer: C
Rationale: Bronchodilators with postural drainage (
C) is a collaborative intervention for bronchiectasis to open airways and clear secretions, involving nursing and respiratory therapy. Tracheostomy (
A) and lobectomy (
B) are not standard. Chest tubes (
D) are for pneumothorax, not bronchiectasis.
Question 2 of 5
A patient was admitted to the intensive care unit 48 hours ago for treatment of a gunshot wound. The patient has recently developed a productive cough and a fever of 104.3 ' $F$. The patient is breathing on their own and doesn't require mechanical ventilation. On assessment, you note coarse crackles in the right lower lobe. A chest x-ray shows infiltrates with consolidation in the right lower lobe. Based on this specific patient scenario, this is known as what type of pneumonia?
Correct Answer: C
Rationale: Hospital-acquired pneumonia (HAP) develops 48 hours or more after hospital admission, as seen in this patient. Aspiration pneumonia is linked to inhaling foreign material, ventilator-acquired pneumonia requires mechanical ventilation, and community-acquired pneumonia occurs outside healthcare settings.
Question 3 of 5
After the bronchoscopy, what should the nurse closely monitor?
Correct Answer: C
Rationale: Monitoring respiratory effort is critical post-bronchoscopy to detect complications like airway obstruction or pneumothorax.
Question 4 of 5
During suctioning of a tracheostomy tube, the catheter appears to attach to the tracheal wall and creates a pulling sensation. What is the best action for the nurse to take?
Correct Answer: A
Rationale: Releasing suction by opening the vent prevents trauma to the tracheal mucosa when the catheter adheres to the wall.
Question 5 of 5
The employee health nurse is administering tuberculin skin testing to employees who have possibly been exposed to a client with active tuberculosis (Tb). Which statement indicates the need for radiological evaluation instead of skin testing?
Correct Answer: C
Rationale: A prior positive TB skin test (
C) indicates exposure, requiring CXR to assess active disease, not repeat skin testing. Purple area (
A) is normal, 4 mm (
B) is negative, and no reaction (
D) warrants testing.