ArtsAutosBooksBusinessEducationEntertainmentFamilyFashionFoodGamesGenderHealthHolidaysHomeHubPagesPersonal FinancePetsPoliticsReligionSportsTechnologyTravel

What You Need to Know For NCLEX; Respiratory System

Updated on July 16, 2012

All the Important Points for NCLEX

Here is an overview of what you need to know for NCLEX. The key is to have a very broad understanding of the whole system.

You will be asked questions that will ask you what to do, and your response will be something like, "monitor vital signs." This is why studying Assessments with Management is the best way to make these connections.

Weather you are taking the RN or PN, the very best book to practice is EXAM CRAM, because it is well organized, making more sense out of the study time. Sylvesteri is also a good resource. The only complaint from people is that there is so much information that it makes the studying "unfriendly" and boring.

Hay Fever

This is they key to sensitivity to allergic disease of the mucus membranes in the nose and upper air passages induced by external irritation.


rhinitis, catarrh, watery discharge from the eyes, coryza, headach, asthmatic symptoms


epinephrine, antihistamines, nasal sprays, corticosteroids

Nursing Interventions:

remove patient from contact


Tonsillitis is a streptococci inflammation of the tonsils and adenoids.


  • fever
  • sore throat


  • antibiotics


bleeding from the nose.

Management: A nasal packing with gauze strips, cauterization of the site with 10% silver nitrate stick.

Nursing Care: Maintain patent airway; have suction available, control bleeding by pinching nose firmly with fingers on soft part. tilt head slightly forward. Monitor vital signs, and avoid hot fluids


An acute illness caused by inflammation or infection of the lungs and characterized by a productive cough, chest pain, and fever.

Assessment; SOB, dyspnea, painful coughs, elevation of temperature.

Management: Antibiotics, IV fluids, O2 with humidity and analgesics (Codeine-antitussive) expectorants-Robitussin, Phenergan=soft foods &vitamin C- increase protein and carbs


Pus collection in the thoracic cavity, S/S-sharp pain upon inspiration, dyspnea

Patient with Chest Tubes

Drainage tubes that are inserted into the pleural cavity to drain secretions, air, and blood from the thoracic cavity. Closed drainage of the thoracic cavity is accomplished by means of a catheter placed in the pleural space. The catheter is securely connected to an underwater seal apparatus.

INDICATIONS: pleurisy, chest surgery, stab wounds of the chest

NURSING CARE: observe underwater seal system q hour, prevent complications of immobility, assessment of respiratory system, provide oral hygiene q 2 hours, anticipate pain; medicate if necessary, spirometer and breathing exercises

Pulmonary Tberculosis

Chronic, progressive infection; alveoli are inflamed, and small nodules are produced called primary tubercles; the tubercle bacillus is at the center of the nodule (these become fibrosed); becoming calcified, identified on X ray film.

Assessments: Malaise; patient is easily fatigued, elevation of temperature and night sweats, anorexia and weight loss chest pain, chronic coughs, and hemoptysis

Management: antituberculin drugs for 18-24 months- Rifampin, Isoniazid, Streptomycin

Nursing Care: provide rest; assist or provide care; plan rest periods between activities; limit conversion. prevent transmission; ensure respiratory isolation. Avoid chills, avoid sharing personal items

Chronic Obstructive Pulmonary Disease

COPD- is the obstruction of bronchioles and alveoli caused by A/B/E

ASSESSMENTS: barrel chest, pink skin color due to hypercapnia, hypoxia, SOB dyspnea leading to severe activity intolerance, coughs

Management: Pulmonary function test, ABGs, antibiotics, bronchodilators, 02@2-4L/m

Nursing Care: prevent URI, postural drainage, increase fluid intake, avoid smoking, allergen, and stress


    0 of 8192 characters used
    Post Comment

    • Skarlet profile imageAUTHOR


      6 years ago from California

      Hello Frog. Thanks for stopping by. Glad to hear you are normal....:)

      Thank you teaches. I appreciate the vote up.

    • teaches12345 profile image

      Dianna Mendez 

      6 years ago

      I am not a nurse but I can see where this would help in understanding respiratory system concerns. I did enjoy the read. Voted up.

    • The Frog Prince profile image

      The Frog Prince 

      6 years ago from Arlington, TX

      I seem normal. I better stop reading this stuff...


      The Frog

    • Skarlet profile imageAUTHOR


      6 years ago from California

      Thank you Kelley,

      I guess that test, and those hours of studying are something we will never forget.

    • profile image


      6 years ago

      I'm a nurse and I remember studying for the NCLEX. I'm sure this will be helpful to many future nurses! Take care, Kelley


    This website uses cookies

    As a user in the EEA, your approval is needed on a few things. To provide a better website experience, uses cookies (and other similar technologies) and may collect, process, and share personal data. Please choose which areas of our service you consent to our doing so.

    For more information on managing or withdrawing consents and how we handle data, visit our Privacy Policy at:

    Show Details
    HubPages Device IDThis is used to identify particular browsers or devices when the access the service, and is used for security reasons.
    LoginThis is necessary to sign in to the HubPages Service.
    Google RecaptchaThis is used to prevent bots and spam. (Privacy Policy)
    AkismetThis is used to detect comment spam. (Privacy Policy)
    HubPages Google AnalyticsThis is used to provide data on traffic to our website, all personally identifyable data is anonymized. (Privacy Policy)
    HubPages Traffic PixelThis is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.
    Amazon Web ServicesThis is a cloud services platform that we used to host our service. (Privacy Policy)
    CloudflareThis is a cloud CDN service that we use to efficiently deliver files required for our service to operate such as javascript, cascading style sheets, images, and videos. (Privacy Policy)
    Google Hosted LibrariesJavascript software libraries such as jQuery are loaded at endpoints on the or domains, for performance and efficiency reasons. (Privacy Policy)
    Google Custom SearchThis is feature allows you to search the site. (Privacy Policy)
    Google MapsSome articles have Google Maps embedded in them. (Privacy Policy)
    Google ChartsThis is used to display charts and graphs on articles and the author center. (Privacy Policy)
    Google AdSense Host APIThis service allows you to sign up for or associate a Google AdSense account with HubPages, so that you can earn money from ads on your articles. No data is shared unless you engage with this feature. (Privacy Policy)
    Google YouTubeSome articles have YouTube videos embedded in them. (Privacy Policy)
    VimeoSome articles have Vimeo videos embedded in them. (Privacy Policy)
    PaypalThis is used for a registered author who enrolls in the HubPages Earnings program and requests to be paid via PayPal. No data is shared with Paypal unless you engage with this feature. (Privacy Policy)
    Facebook LoginYou can use this to streamline signing up for, or signing in to your Hubpages account. No data is shared with Facebook unless you engage with this feature. (Privacy Policy)
    MavenThis supports the Maven widget and search functionality. (Privacy Policy)
    Google AdSenseThis is an ad network. (Privacy Policy)
    Google DoubleClickGoogle provides ad serving technology and runs an ad network. (Privacy Policy)
    Index ExchangeThis is an ad network. (Privacy Policy)
    SovrnThis is an ad network. (Privacy Policy)
    Facebook AdsThis is an ad network. (Privacy Policy)
    Amazon Unified Ad MarketplaceThis is an ad network. (Privacy Policy)
    AppNexusThis is an ad network. (Privacy Policy)
    OpenxThis is an ad network. (Privacy Policy)
    Rubicon ProjectThis is an ad network. (Privacy Policy)
    TripleLiftThis is an ad network. (Privacy Policy)
    Say MediaWe partner with Say Media to deliver ad campaigns on our sites. (Privacy Policy)
    Remarketing PixelsWe may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.
    Conversion Tracking PixelsWe may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.
    Author Google AnalyticsThis is used to provide traffic data and reports to the authors of articles on the HubPages Service. (Privacy Policy)
    ComscoreComScore is a media measurement and analytics company providing marketing data and analytics to enterprises, media and advertising agencies, and publishers. Non-consent will result in ComScore only processing obfuscated personal data. (Privacy Policy)
    Amazon Tracking PixelSome articles display amazon products as part of the Amazon Affiliate program, this pixel provides traffic statistics for those products (Privacy Policy)