NCLEX-PN
NCLEX Questions Respiratory Questions
Extract:
Question 1 of 5
Which nursing interventions should the nurse implement for the client diagnosed with a pulmonary embolus who is undergoing thrombolytic therapy? Select all that apply.
Correct Answer: B,C,D
Rationale: Avoiding pressure (
B), monitoring bleeding (
C), and avoiding procedures (
D) prevent hemorrhage during thrombolytics. Protamine (
A) reverses heparin, and softeners (E) are unrelated.
Question 2 of 5
The nurse observes the unlicensed assistive personnel (UAP) entering an airborne isolation room and leaving the door open. Which action is the nurse's best response?
Correct Answer: A
Rationale: Closing the door (
A) maintains airborne precautions, and discussing later ensures education without disrupting care. Reentering (
B) is unnecessary, reporting (
C) escalates prematurely, and discussing inside (
D) risks exposure.
Question 3 of 5
An alarm beeps notifying you that one of your patient's oxygen saturation is reading $89 \%$. You arrive to the patient's room, and see the patient comfortably resting in bed watching television. The patient is already on $2 \mathrm{~L}$ of oxygen via nasal cannula. The patient is admitted for COPD exacerbation. Your next nursing action would be:
Correct Answer: A
Rationale: In COPD, oxygen saturation of 88-92% is acceptable to avoid suppressing the hypoxic drive. Since the patient is comfortable, continue monitoring . Increasing oxygen or notifying the doctor is unnecessary unless symptoms worsen.
Question 4 of 5
The nurse is preparing the plan of care for the client who had a pleurodesis. Which collaborative intervention should the nurse include?
Correct Answer: A
Rationale: Pleurodesis involves sclerosing the pleural space to prevent fluid reaccumulation, often requiring a chest tube. Monitoring drainage amount and color (
A) is a collaborative intervention to assess procedure success and detect complications. Respiratory assessment (
B) and morphine administration (
C) are nursing or medical orders, not collaborative. Keeping sterile supplies (
D) is preparatory, not a primary intervention.
Question 5 of 5
An adult is admitted with chronic obstructive pulmonary disease [COPD]. The nurse notes that he has neck vein distention and slight peripheral edema. The practical nurse notifies the registered nurse and continues frequent assessments because the nurse knows that these signs signal the onset of which of the following?
Correct Answer: B
Rationale: Neck vein distention and peripheral edema indicate right-sided heart failure, or cor pulmonale, caused by pulmonary hypertension in COPD.