Respiratory System NCLEX Questions
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Question 1 of 5.
The charge nurse receives morning laboratory and respiratory data on the clients. Which data requires immediate intervention?
A. ABG results of pH 7.35, Paco2 56, Hco3 29, Pao2 78 for a client diagnosed with COPD.
B. Pulse oximetry reading of 89% on a two-day postsurgical total knee replacement client.
C. Hgb of 9 g/dL and Hct of 28% on a client who is receiving the second unit of blood.
D. B-type natriuretic peptide (BNP) of 100 on a client diagnosed with stage 4 congestive heart failure.
Explanation: SpO2 89% post
Question 2 of 5.
The school nurse is presenting a class to students at a primary school on how to prevent the transmission of the common cold virus. Which information should the nurse discuss?
A. Instruct the children to always keep a tissue or handkerchief with them.
B. Explain that children current with immunizations will not get a cold.
C. Tell the children they should go to the doctor if they get a cold.
D. Demonstrate to the students how to wash hands correctly.
Explanation: Handwashing (D) is the most effective way to prevent cold transmission. Tissues (A) are secondary, immunizations (B) don’t prevent colds, and doctor visits (C) are unnecessary for most colds.
Question 3 of 5.
The influenza vaccine is in short supply. Which group of clients would the public health nurse consider priority when administering the vaccine?
A. Elderly and chronically ill clients.
B. Child-care workers and children less than four (4) years of age.
C. Hospital chaplains and health-care workers.
D. Schoolteachers and students living in a dormitory.
Explanation: Elderly and chronically ill (A) are at highest risk for flu complications, prioritizing them. Child-care workers/children (B), chaplains/HCWs (C), and teachers/students (D) are secondary.
Question 4 of 5.
The nurse is developing a plan of care for a client diagnosed with laryngitis and identifies the client problem 'altered communication.' Which intervention should the nurse implement?
A. Instruct the client to drink a mixture of brandy and honey several times a day.
B. Encourage the client to whisper instead of trying to speak at a normal level.
C. Provide the client with a blank note pad for writing any communication.
D. Explain that the client's aphonia may become a permanent condition.
Explanation: A note pad (C) facilitates communication during laryngitis-related voice loss. Brandy/honey (A) is unproven, whispering (B) strains vocal cords, and permanent aphonia (D) is unlikely.
Question 5 of 5.
The nurse is planning the care of a client diagnosed with pneumonia and writes a problem of 'impaired gas exchange.' Which is an expected outcome for this problem?
A. Performs chest physiotherapy three (3) times a day.
B. Able to complete activities of daily living.
C. Ambulates in the hall several times during each shift.
D. Alert and oriented to person, place, time, and events.
Explanation: Alert/oriented status (D) indicates improved oxygenation from resolved gas exchange impairment. Physiotherapy (A) is an intervention, ADLs (B) and ambulation (C) are secondary outcomes.
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