NCLEX Questions Respiratory

Extract:

Question 1 of 5

Which medication should the nurse anticipate the health-care provider ordering for the client diagnosed with ARDS?

Correct Answer: B

Rationale: Synthetic surfactant (
B) improves lung compliance in ARDS. Antibiotics (
A), potassium (
C), and NSAIDs (
D) are not standard treatments.

Question 2 of 5

The client who has undergone a radical neck dissection and tracheostomy for cancer of the larynx is being discharged. Which discharge instructions should the nurse teach? Select all that apply.

A. The client will be able to speak again after the surgery area has healed. B. The client should wear a protective covering over the stoma when showering. C. The client should clean the stoma and then apply a petroleum-based ointment. D. The client should use a humidifier in the room. E. The client can get a special telephone for communication.

Correct Answer: B,D,E

Rationale: Showering protection (
B), humidifiers (
D), and special phones (E) support tracheostomy care. Speech (
A) is lost permanently, and petroleum ointment (
C) risks infection.

Question 3 of 5

When the nurse obtains the nasal swab, which action is most accurate?

A. The nurse dons sterile gloves before obtaining the specimen. B. The swab is placed in the anterior portion of the nare and swept superiorly. C. The client is asked to blow the nose before the specimen is collected. D. The nurse uses separate applicators for each nare.

Correct Answer: D

Rationale: Using separate applicators for each nare prevents cross-contamination and ensures an accurate sample for MRSA screening.

Question 4 of 5

The ABG analysis results reveal that the client's partial pressure of arterial carbon dioxide (PaCO2) is 65 mm Hg. The nurse recognizes that this is abnormal because normal PaCO2 levels fall between which values?

A. 7.35 and 7.45 B. 80 and 100 mm Hg C. 35 and 45 mm Hg D. 22 and 26 mm Hg

Correct Answer: C

Rationale: Normal PaCO2 levels are 35 to 45 mm Hg; a value of 65 mm Hg indicates hypercapnia, common in COPD.

Question 5 of 5

When the client asks why the physician chose this particular drug to treat the pneumonia, which response by the nurse is best?

A. The sensitivity report showed the organism is often killed by penicillin. B. Most viral infections respond well when treated with penicillin drugs. C. Penicillin is one of the safest yet most effective antibiotics. D. All antibiotics are similar; the choice of drug is not that important.

Correct Answer: A

Rationale: Penicillin is chosen based on the sensitivity report, indicating that the pneumococcal bacteria are susceptible to it.

NCLEX Questions Respiratory | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN