NCLEX-PN
NCLEX Questions Respiratory Questions
Extract:
Question 1 of 5
Which intervention should the nurse implement first for the client diagnosed with a hemothorax who has had a right-sided chest tube for three (3) days and has no fluctuation (tidaling) in the water compartment?
Correct Answer: A
Rationale: No tidaling may indicate resolution or obstruction; assessing lung sounds (
A) confirms status. CXR (
B), notification (
C), and documentation (
D) follow.
Question 2 of 5
Which diagnostic test should the nurse anticipate the health-care provider ordering to rule out the diagnosis of asthma in clients diagnosed with chronic obstructive pulmonary disease (COPD)?
Correct Answer: D
Rationale: A bronchodilator reversibility test differentiates asthma from COPD by assessing whether airway obstruction is reversible. In asthma, lung function (e.g., FEV1) improves significantly post-bronchodilator, while COPD shows minimal improvement. Bronchoscopy (
A) is invasive and not specific for this differentiation. Immunoglobulin E (
B) is relevant for allergies, not distinguishing asthma from COPD. Arterial blood gases (
C) assess oxygenation but do not differentiate these conditions.
Question 3 of 5
The nurse is preparing the plan of care for the client who had a pleurodesis. Which collaborative intervention should the nurse include?
Correct Answer: A
Rationale: Pleurodesis involves sclerosing the pleural space to prevent fluid reaccumulation, often requiring a chest tube. Monitoring drainage amount and color (
A) is a collaborative intervention to assess procedure success and detect complications. Respiratory assessment (
B) and morphine administration (
C) are nursing or medical orders, not collaborative. Keeping sterile supplies (
D) is preparatory, not a primary intervention.
Question 4 of 5
Which of the following patients are MOST at risk for developing pneumonia? Select-all-that-apply:
Correct Answer: A,C,D
Rationale: Patients recovering from surgery are at risk due to immobility and impaired cough reflex, those with COPD have chronic lung disease increasing susceptibility, and infants with RSV are prone to secondary bacterial pneumonia. The vaccinated patient has reduced risk due to immunity.
Question 5 of 5
When the nurse is teaching a client to self-administer nose drops, which head position is appropriate?
Correct Answer: C
Rationale: Tilting the head backward allows nose drops to reach the nasal passages effectively by gravity, ensuring proper distribution of the medication.