NCLEX-PN
Respiratory System NCLEX Questions Questions
Extract:
Question 1 of 5
You're educating a patient with pneumonia how to deep breathe by using an incentive spirometer. Which of the following is the correct way to use this device?
Correct Answer: C
Rationale: Correct incentive spirometer use involves slow, deep inhalation to maximize lung expansion, holding the breath for 6 seconds to keep alveoli open, and then exhaling . Other options describe incorrect techniques that don't promote effective lung expansion.
Question 2 of 5
The nurse is preparing to administer medications to the following clients. Which medication should the nurse question administering?
Correct Answer: C
Rationale: PTT 98 (
C) is supratherapeutic for heparin, risking bleeding, so question administration. INR 1.9 (
A) is subtherapeutic, insulin (
B) is appropriate, and CCB (
D) is reasonable.
Question 3 of 5
The nurse identified the client problem 'decreased cardiac output' for the client diagnosed with a pulmonary embolus. Which intervention should be included in the plan of care?
Correct Answer: A
Rationale: ABGs (
A) monitor oxygenation, supporting cardiac output in PE. Skin color (
B) is secondary, bleeding (
C) relates to anticoagulation, and Trendelenburg (
D) is contraindicated.
Question 4 of 5
A patient is prescribed Warfarin (Coumadin) for the treatment of a blood clot. What is the therapeutic INR range for this medication?
Correct Answer: A
Rationale: The therapeutic INR range is 2-3. It may be slightly higher if a patient is at a high risk for clot formation (ex: up to 4.5)
Question 5 of 5
You're educating a patient with pneumonia how to deep breathe by using an incentive spirometer. Which of the following is the correct way to use this device?
Correct Answer: C
Rationale: Correct incentive spirometer use involves slow, deep inhalation to maximize lung expansion, holding the breath for 6 seconds to keep alveoli open, and then exhaling . Other options describe incorrect techniques that don't promote effective lung expansion.