NCLEX-PN
Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
You're providing discharge teaching to a patient who was admitted with asthma. You discussed the early warning signs of an asthma attack and ask the patient to list some of them. Select all the correct early warning signs verbalized by the patient:
Correct Answer: A,B,E,F
Rationale: Early warning signs include fatigue, reduced peak flow, wheezing with activity, and nighttime coughing. Chest retractions, cyanosis, and no relief from a bronchodilator indicate a more severe attack.
Question 2 of 5
The client in the intensive care unit diagnosed with end-stage chronic obstructive pulmonary disease has a Swan-Ganz mean pulmonary artery pressure of 35 mm Hg. Which health-care provider order would the nurse question?
Correct Answer: A
Rationale: A mean pulmonary artery pressure of 35 mm Hg indicates pulmonary hypertension, common in end-stage COPD. IV fluids at 125 mL/hr (
A) risk fluid overload and worsening right heart strain, so this order should be questioned. Oxygen (
B), telemetry (
C), and diuretics (
D) are appropriate to manage hypoxia, monitor cardiac status, and reduce fluid overload.
Question 3 of 5
A patient is presenting with mild symptoms of pneumonia. The doctor diagnoses the patient with 'walking pneumonia'. From your nursing knowledge, you know this type of pneumonia is caused by what type of infectious agent?
Correct Answer: C
Rationale: Walking pneumonia is commonly caused by Mycoplasma pneumoniae, a bacterium that leads to mild, community-acquired pneumonia. Fungi cause fungal pneumonia, Streptococcus pneumoniae causes typical bacterial pneumonia, and Influenza is a viral infection.
Question 4 of 5
The nurse is presenting a class on chest tubes. Which statement best describes a tension pneumothorax?
Correct Answer: C
Rationale: Tension pneumothorax traps air in the pleural space (
C), increasing pressure. Bleb rupture (
A) causes simple pneumothorax, free air movement (
B) is open pneumothorax, and central line (
D) is a cause, not definition.
Question 5 of 5
The client had a right-sided chest tube inserted two (2) hours ago for a pneumothorax. Which action should the nurse implement if there is no fluctuation (tidaling) in the water-seal compartment?
Correct Answer: C
Rationale: No tidaling suggests obstruction; checking for kinks/clots (
C) is the first step. CXR (
A), suction increase (
B), and SpO2 (
D) follow if unresolved.