NCLEX-PN
Respiratory System NCLEX Questions Questions
Extract:
Question 1 of 5
Which intervention should the nurse implement for a male client who has had a left-sided chest tube for six (6) hours and who refuses to take deep breaths because of the pain?
Correct Answer: A
Rationale: Pain medication followed by deep breathing (
A) prevents atelectasis. Shallow breaths (
B), delaying (
C), and fear tactics (
D) are inappropriate.
Question 2 of 5
The charge nurse is assigning clients for the shift. Which client should be assigned to the new graduate nurse?
Correct Answer: A
Rationale: Chest tubes for lung cancer (
A) are stable for a new graduate. Stridor (
B), fistulas (
C), and recent laryngectomy (
D) require experienced care due to airway and complication risks.
Question 3 of 5
The nurse knows that the correct way to position the hands when performing the abdominal thrust maneuver is with the thumb side of the closed fist on which part of the victim's abdomen?
Correct Answer: B
Rationale: Positioning the fist above the xiphoid process (below the sternum) ensures safe and effective abdominal thrusts to dislodge the obstruction.
Question 4 of 5
The alert and oriented client is diagnosed with a spontaneous pneumothorax, and the healthcare provider is preparing to insert a left-sided chest tube. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Informed consent (
B) is required before invasive procedures, a priority. Gathering supplies (
A), positioning (
C), and discussion (
D) follow.
Question 5 of 5
A 55-year old male patient is admitted with an active tuberculosis infection. The nurse will place the patient in precautions and will always wear when providing patient care?
Correct Answer: B
Rationale: Active tuberculosis requires airborne precautions due to its transmission via respiratory droplets. A respirator (e.g., N95) is required for healthcare workers, not a surgical mask, to protect against inhaling the bacteria.