NCLEX-RN
Adult Health II Respiratory NCLEX Questions Questions
Question 1 of 5
The nurse is tracking data on a group of clients with heart failure who have been discharged from the hospital and are being followed at a clinic. Which of the following data indicate that nursing interventions of monitoring and teaching have been effective?
Correct Answer: A,C,D
Rationale: No weight gain (
A), medication adherence (
C), and low hospitalization rates (
D) indicate effective management of heart failure through monitoring and teaching.
Question 2 of 5
A nurse is providing teaching to a client about skin cancer. Which of the following should the nurse explain are risk factors for skin cancer? Select all that apply.
Correct Answer: A,C,E,F
Rationale: Increasing age, sun exposure, genetics, and immunosuppression increase skin cancer risk. Chemical pollutants are less significant, and increased pigmentation reduces risk.
Question 3 of 5
A client uses a metered-dose inhaler (MDI) to aid in management of his asthma. Which action by the client indicates to the nurse that he needs further instruction regarding its use? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Incorrect MDI use includes not coordinating activation with inspiration (
A), rapid inspiration (
B), holding breath for only 3 seconds (C; should be 10 seconds), and rapid successive puffs (E; wait 1 minute between puffs). Shaking after use (
D) is incorrect but less critical.
Question 4 of 5
A client undergoes surgery to repair lung injuries. Postoperative orders include the transfusion of one unit of packed red blood cells at a rate of 60 mL/hour. How long would this transfusion take to infuse?
Correct Answer: B
Rationale: A unit of packed red blood cells is approximately 250–300 mL. At 60 mL/hour, 240 mL (close to a unit) takes 240 ÷ 60 = 4 hours.
Question 5 of 5
The nurse has established a goal with a client to improve mobility following hip replacement. Which of the following is a realistic outcome at the time of discharge from the surgical unit?
Correct Answer: C
Rationale: Increased independence in transfers is a realistic and measurable goal for discharge.