NCLEX-PN
Respiratory System NCLEX Questions Questions
Extract:
Question 1 of 5
Which nursing assessment data support that the client has experienced a pulmonary embolism?
Correct Answer: B
Rationale: Sudden chest pain and dyspnea (
B) are classic PE symptoms from hypoxia. Calf pain (
A) suggests DVT, left-sided pain (
C) suggests MI, and crackles/fever (
D) suggest pneumonia.
Question 2 of 5
Which pulse oximetry reading indicates to the nurse that the client has normal tissue oxygenation?
Correct Answer: D
Rationale: A pulse oximetry reading of 95% to 100% indicates normal tissue oxygenation, reflecting adequate oxygen saturation.
Question 3 of 5
When a previously negative client has a positive reaction to a tuberculin skin test, which information about follow-up is most correct?
Correct Answer: D
Rationale: A positive tuberculin test requires further evaluation (e.g., chest X-ray), and antituberculosis drugs may be prescribed for latent or active infection.
Question 4 of 5
The nurse is caring for a client diagnosed with pneumonia who is having shortness of breath and difficulty breathing. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Administering oxygen (
C) is the first intervention for a pneumonia patient with shortness of breath to correct hypoxemia, per the ABCs (airway, breathing, circulation). Checking pulse oximetry (
B) assesses oxygenation but delays treatment. Vital signs (
A) and notifying the therapist (
D) are secondary to immediate oxygen delivery.
Question 5 of 5
The nurse is planning the activities for the client diagnosed with asbestosis. Which activity should the nurse schedule at 0900 if breakfast is served at 0800?
Correct Answer: B
Rationale: Bronchodilator treatment (
B) at 0900 optimizes lung function early in the day for asbestosis patients, who have restrictive lung disease. Bathing (
A) is less urgent. A rest period (
C) may be needed later, not immediately post-breakfast. Chest physiotherapy (
D) is typically scheduled later to avoid postprandial discomfort.