NCLEX-PN
NCLEX Respiratory Questions Questions
Extract:
Question 1 of 5
Which nursing assessment is most important when caring for a client experiencing a severe allergic reaction?
Correct Answer: C
Rationale: Monitoring respiratory status is critical during a severe allergic reaction, as anaphylaxis can cause airway obstruction and respiratory distress.
Question 2 of 5
Which statement indicates the client diagnosed with asthma needs more teaching concerning the medication regimen?
Correct Answer: C
Rationale: Daily oral glucocorticoids (
C) are not typically used for asthma maintenance due to significant side effects; they are reserved for severe exacerbations or specific cases. Inhaled corticosteroids or leukotriene modifiers (like Singulair,
A) are preferred for long-term control. Using cromolyn before exercise (
B) is correct to prevent exercise-induced bronchospasm. Albuterol for acute attacks (
D) is appropriate as a rescue inhaler.
Question 3 of 5
Which nursing measure is most helpful in reducing the client's anxiety during an asthma attack?
Correct Answer: B
Rationale: Remaining within the client's view provides reassurance and reduces anxiety by ensuring the client feels supported during an asthma attack.
Question 4 of 5
The nurse is caring for a client diagnosed with a pneumothorax who had chest tubes inserted four (4) hours ago. There is no fluctuating (tidaling) in the water-seal compartment of the closed chest drainage system. Which action should the nurse implement first?
Correct Answer: B
Rationale: No tidaling in the water-seal compartment suggests a blockage or kink. Checking for kinks (
B) is the first, non-invasive action to restore function. Milking (
A) is avoided due to pressure risks. Coughing (
C) is ineffective if tubing is blocked. Assessing the site (
D) is secondary.
Question 5 of 5
Which referral is most appropriate for a client diagnosed with end-stage COPD?
Correct Answer: C
Rationale: The American Lung Association (
C) supports COPD patients with resources. Asthma Foundation (
A), Cancer Society (
B), and Heart Association (
D) are less relevant.