NCLEX-PN
NCLEX Questions Respiratory Questions
Extract:
Question 1 of 5
Which nursing action is most appropriate immediately after the chest tube is removed from the client?
Correct Answer: A
Rationale: Applying a sterile dressing taped securely prevents air entry into the pleural space and promotes healing post-chest tube removal.
Question 2 of 5
The client diagnosed with ARDS is on a ventilator and the high alarm indicates an increase in the peak airway pressure. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: High airway pressure may result from kinks (
A), a common cause requiring immediate check. Suctioning (
B), lip line (
C), and sedation (
D) follow if needed.
Question 3 of 5
Which instruction regarding the prescribed medication is most appropriate to tell this client?
Correct Answer: C
Rationale: Drinking more fluids enhances the expectorant effect of guaifenesin, helping to thin and expel mucus.
Question 4 of 5
Which agents should the nurse suspect as being the cause of the victims' symptoms? Select all that apply.
Correct Answer: B, E
Rationale: Sarin gas and cyanide are chemical agents that can cause rapid onset of dyspnea, weakness, and nausea, consistent with the symptoms described.
Question 5 of 5
The nurse performs postural drainage on the client. Which nursing intervention is most beneficial to loosen secretions?
Correct Answer: B
Rationale: Striking the back with a cupped hand (percussion) helps loosen secretions during postural drainage.