Respiratory NCLEX Questions

Extract:

Question 1 of 5

You're developing a plan of care for a patient who is at risk for the development of a deep vein thrombosis after surgery. What nursing intervention below would the nurse NOT include in the patient's plan of care to prevent DVT formation?

Correct Answer: B

Rationale: Yes, the nurse would apply SCDs per MD order to help prevent DVTs, BUT they are to be applied and worn by the patient anytime they are in bed or sitting. The only time a patient should not wear the SCDs is when they're ambulating.
Therefore, the nurse would NOT just apply them at bedtime but during the day too.

Question 2 of 5

You're developing a plan of care for a patient who is at risk for the development of a deep vein thrombosis after surgery. What nursing intervention below would the nurse NOT include in the patient's plan of care to prevent DVT formation?

A. The patient will eat all meals out of the bed daily by sitting in the bedside chair. B. The nurse will apply sequential compression devices (SCDs) per physician's order to the patient's lower extremities every night at bedtime. C. The nurse will administer per physician's order Enoxaparin in the subcutaneous tissue of the abdomen. D. The patient will ambulate daily.

Correct Answer: B

Rationale: Yes, the nurse would apply SCDs per MD order to help prevent DVTs, BUT they are to be applied and worn by the patient anytime they are in bed or sitting. The only time a patient should not wear the SCDs is when they're ambulating.
Therefore, the nurse would NOT just apply them at bedtime but during the day too.

Question 3 of 5

Which information should the nurse include in the teaching plan for the mother of a child diagnosed with cystic fibrosis (CF)? Select all that apply.

A. Perform postural drainage and percussion every four (4) hours. B. Modify activities to accommodate daily physiotherapy. C. Increase fluid intake to one (1) liter daily to thin secretions. D. Recognize and report signs and symptoms of respiratory infections. E. Avoid anyone suspected of having an upper respiratory infection.

Correct Answer: A,B,D,E

Rationale: Postural drainage (1) helps clear mucus in CF. Modifying activities for physiotherapy (2) ensures adherence. Recognizing infection signs (4) and avoiding respiratory infections (5) prevent exacerbations. One liter of fluid (3) is insufficient for children; fluid needs vary by age and size.

Question 4 of 5

Which observation best indicates that a client with a pneumothorax is developing a tension pneumothorax?

A. The trachea is deviated. B. The client is coughing. C. The chest is asymmetrical. D. The client reports sharp pain.

Correct Answer: A

Rationale: Tracheal deviation is a hallmark sign of tension pneumothorax, indicating mediastinal shift due to increased intrathoracic pressure.

Question 5 of 5

The client diagnosed with ARDS is transferred to the intensive care department and placed on a ventilator. Which intervention should the nurse implement first?

A. Confirm that the ventilator settings are correct. B. Verify that the ventilator alarms are functioning properly. C. Assess the respiratory status and pulse oximeter reading. D. Monitor the client's arterial blood gas results.

Correct Answer: C

Rationale: Assessing respiratory status and SpO2 (
C) ensures immediate patient stability. Ventilator settings (
A), alarms (
B), and ABGs (
D) follow.

Respiratory NCLEX Questions | Nurselytic

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