NCLEX-PN
NCLEX Questions Respiratory Questions
Extract:
Question 1 of 5
While the nurse is suctioning a tracheostomy tube, the client starts to cough. What is the best action for the nurse to take?
Correct Answer: C
Rationale: Removing the suction quickly allows the client to cough out mucus naturally, preventing irritation or trauma.
Question 2 of 5
The nurse in a long-term care facility is planning the care for a client with a percutaneous endoscopic gastrostomy (PEG) feeding tube used for bolus feedings. Which intervention should the nurse include in the plan of care?
Correct Answer: B
Rationale: Elevating HOB post-feeding (
B) prevents aspiration in PEG clients. Naris inspection (
A) applies to NG tubes, Sims position (
C) is not standard, and dressings (
D) are changed PRN.
Question 3 of 5
Before recommending the use of a nonprescription decongestant to a client with a cold, which aspect of the medical history should be assessed? Select all that apply.
Correct Answer: C, E, F
Rationale: Decongestants can exacerbate hypertension, glaucoma, and arrhythmias due to their vasoconstrictive effects. Asthma is also a concern as decongestants may worsen respiratory symptoms in some cases.
Question 4 of 5
A patient is receiving continuous IV Heparin for anticoagulation therapy for the treatment of a DVT. In order for this medication to have a therapeutic effect on the patient, the aPTT should be?
Correct Answer: C
Rationale: An aPTT should be 1.5-2.5 times the normal value range for Heparin to achieve a therapeutic effect in a patient to prevent blood clots. If the aPTT is too low, blood clots can form. If the aPTT is too high, bleeding can occur.
Question 5 of 5
The client is diagnosed with bronchiolitis obliterans. Which data indicate the glucocorticoid therapy is effective?
Correct Answer: B
Rationale: Decreased sputum production (
B) indicates reduced airway inflammation in bronchiolitis obliterans, suggesting effective glucocorticoid therapy. Elevated glucose (
A) is a side effect, not efficacy. Increased temperature (
C) or restlessness (
D) suggests worsening or side effects, not improvement.