NCLEX-PN
NCLEX Respiratory Questions Questions
Extract:
Question 1 of 5
Which position is best for the client to be in while the nurse prepares to assess breath sounds?
Correct Answer: A
Rationale: Sitting upright allows optimal lung expansion, making it easier to assess breath sounds accurately in a client with asthma.
Question 2 of 5
When teaching the client about topical nasal decongestant sprays, the nurse should warn that overuse of such medication is likely to result in which adverse effect?
Correct Answer: B
Rationale: Overuse of topical nasal decongestants can lead to rebound congestion, where nasal passages become more congested after the medication wears off, due to dependency on the decongestant.
Question 3 of 5
The client is admitted to the emergency department with chest trauma. Which signs/symptoms indicate to the nurse the diagnosis of pneumothorax?
Correct Answer: B
Rationale: Pneumothorax causes unequal lung expansion and dyspnea (
B) from collapsed lung. Bronchovesicular sounds/bradypnea (
A), frothy sputum (
C), and barrel chest (
D) suggest other conditions.
Question 4 of 5
When the client undergoes scratch skin testing, which sign best indicates a hypersensitivity to the scratched substance?
Correct Answer: C
Rationale: A positive skin test reaction is indicated by redness and swelling at the test site, showing a hypersensitivity response to the allergen.
Question 5 of 5
When suctioning the airway of a client with a tracheostomy, the nurse applies suction for no longer than how many seconds?
Correct Answer: B
Rationale: Suctioning for 10 to 12 seconds minimizes the risk of hypoxia and mucosal trauma.