NCLEX Questions Respiratory

Extract:

Question 1 of 5

Which statement by the client would indicate to the nurse that the client has an accurate understanding of the planned surgery?

Correct Answer: A

Rationale: A pneumonectomy involves removing an entire lung, so the client's statement reflects accurate understanding.

Question 2 of 5

The nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. Which information provided by the UAP warrants immediate intervention by the nurse?

A. The client diagnosed with cancer of the lung has a small amount of blood in the sputum collection cup. B. The client diagnosed with chronic emphysema is sitting on the side of the bed and leaning over the bedside table. C. The client receiving Procrit, a biologic response modifier, has a T 99.2°F, P 68, R 24, and BP of 198/102. D. The client receiving prednisone, a steroid, is complaining of an upset stomach after eating breakfast.

Correct Answer: C

Rationale: Hypertension (198/102) with Procrit (
C) suggests a serious side effect, requiring immediate intervention. Hemoptysis (
A), tripod position (
B), and stomach upset (
D) are expected or less urgent.

Question 3 of 5

The client who smokes two (2) packs of cigarettes a day develops ARDS after a near-drowning. The client asks the nurse, 'What is happening to me? Why did I get this?' Which statement by the nurse is most appropriate?

A. Most people who almost drown end up developing ARDS. B. Platelets and fluid enter the alveoli due to permeability instability. C. Your lungs are filling up with fluid, causing breathing problems. D. Smoking has caused your lungs to become weakened, so you got ARDS.

Correct Answer: C

Rationale: Fluid-filled lungs (
C) explain ARDS simply, addressing breathing issues. Drowning link (
A), permeability (
B), and smoking (
D) are less accurate or overly technical.

Question 4 of 5

To evaluate the significance of the client's bleeding, which additional assessment is most important for the nurse to make at this time?

A. Count the pulse rate. B. Listen to heart sounds. C. Check the pupillary response. D. Measure the chest expansion.

Correct Answer: D

Rationale: Measuring chest expansion helps assess for complications like pneumothorax, which could cause bleeding post-bronchoscopy.

Question 5 of 5

The nurse is discussing the care of a child diagnosed with asthma with the parent. Which referral is important to include in the teaching?

A. Referral to a dietitian. B. Referral for allergy testing. C. Referral to the developmental psychologist. D. Referral to a home health nurse.

Correct Answer: B

Rationale: Allergy testing (
B) identifies asthma triggers, critical for management. Dietitian (
A), psychologist (
C), and home health (
D) are secondary unless specific issues arise.