NCLEX-PN
Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
Which nursing explanation identifies the primary rationale for administering aminophylline?
Correct Answer: C
Rationale: Aminophylline is a bronchodilator that dilates bronchial airways, improving airflow in COPD clients.
Question 2 of 5
What is the significance of a positive tuberculin skin test?
Correct Answer: B
Rationale: A positive tuberculin skin test indicates the presence of antibodies to tuberculosis, suggesting exposure or latent infection, not necessarily active disease.
Question 3 of 5
Which arterial blood gas (ABG) results support the diagnosis of acute respiratory distress syndrome (ARDS) after the client has received O2 at 10 LPM?
Correct Answer: C
Rationale: ARDS is characterized by severe hypoxemia despite high oxygen delivery. Pao2 59 (
C) despite 10 LPM oxygen indicates refractory hypoxia, a hallmark of ARDS. Normal Pao2 (94 in A and
D) contradicts ARDS. Pao2 82 (
B) is low but not as severe as 59, making C the best indicator of ARDS.
Question 4 of 5
Which response by the nurse is most appropriate at this time?
Correct Answer: B
Rationale: Staying with the client provides emotional support and ensures prompt intervention during a suspected pulmonary embolism.
Question 5 of 5
The nurse is caring for the client diagnosed with bacterial pneumonia. Which priority intervention should the nurse implement?
Correct Answer: C
Rationale: Administering oxygen as prescribed (
C) is the priority for bacterial pneumonia to address hypoxemia, a common issue due to impaired gas exchange. Assessing respiratory rate (
A) is important but secondary to ensuring oxygenation. Rest (
B) and breathing techniques (
D) support recovery but are not the first priority.