NCLEX-PN
NCLEX Respiratory Questions Questions
Extract:
Question 1 of 5
You're providing discharge teaching to a patient who was admitted for pneumonia. You are discussing measures the patient can take to prevent pneumonia. Which of the following statements by the patient indicates they did NOT understand your education material?
Correct Answer: B
Rationale: The statement about not receiving the Pneumovax vaccine is incorrect, as vaccination is recommended to prevent pneumococcal pneumonia, and prior infection doesn't confer immunity. Other options reflect correct preventive measures.
Question 2 of 5
A patient with emphysema may present with all of the following symptoms EXCEPT?
Correct Answer: C
Rationale: Emphysema causes barrel chest , lung hyperinflation , and often hypercapnia due to air trapping. Hypoventilation is not typical, as patients hyperventilate to compensate for poor gas exchange.
Question 3 of 5
The client has had a total laryngectomy. Which referral is specific for this surgery?
Correct Answer: C
Rationale: Lost Chord Club (
C) supports laryngectomy patients with communication and adjustment. CanSurmount (
A), Dialogue (
B), and SmokEnders (
D) are for cancer, CLL, and smoking cessation.
Question 4 of 5
The nurse is caring for a client diagnosed with a pneumothorax who had chest tubes inserted four (4) hours ago. There is no fluctuating (tidaling) in the water-seal compartment of the closed chest drainage system. Which action should the nurse implement first?
Correct Answer: B
Rationale: No tidaling in the water-seal compartment suggests a blockage or kink. Checking for kinks (
B) is the first, non-invasive action to restore function. Milking (
A) is avoided due to pressure risks. Coughing (
C) is ineffective if tubing is blocked. Assessing the site (
D) is secondary.
Question 5 of 5
What nursing action is most appropriate when administering both types of oral medication to this client?
Correct Answer: D
Rationale: Administering tablets first ensures they are swallowed properly, followed by the cough syrup, which may coat the throat and aid swallowing.