NCLEX-PN
NCLEX Respiratory Questions Questions
Extract:
Question 1 of 5
Which oxygen flow rate is most appropriate for the nurse to administer for this client?
Correct Answer: A
Rationale: A low flow rate of 2 L/minute is appropriate for COPD clients to avoid suppressing the hypoxic drive while improving oxygenation.
Question 2 of 5
Your patient is diagnosed with a latent tuberculosis infection. Select all the correct statements that reflect this condition:
Correct Answer: B,C
Rationale: The patient WILL need medical treatment to prevent this case of LBTI from developing into an active TB infection later on. The patient will NOT have an abnormal chest x-ray or a positive sputum test. This is only in active TB.
Question 3 of 5
When caring for a client with a flail chest, which nursing action is most appropriate?
Correct Answer: C
Rationale: Applying a chest binder stabilizes the flail chest, reducing paradoxical chest movement and improving ventilation.
Question 4 of 5
Which assessment finding provides the best indication that the nurse needs to suction the client with a tracheostomy?
Correct Answer: C
Rationale: Wet breath sounds indicate mucus accumulation in the tracheostomy, necessitating suctioning to clear the airway.
Question 5 of 5
The nurse is caring for the client diagnosed with COPD. Which outcome requires a revision in the plan of care?
Correct Answer: C
Rationale: Activity intolerance (
C) indicates poor COPD control, requiring plan revision. No distress (
A), improved breathing (
B), and goal participation (
D) are positive outcomes.