NCLEX Questions Respiratory

Question 1 of 5

When the nurse obtains the nasal swab, which action is most accurate?

A. The nurse dons sterile gloves before obtaining the specimen.B. The swab is placed in the anterior portion of the nare and swept superiorly.C. The client is asked to blow the nose before the specimen is collected.D. The nurse uses separate applicators for each nare.

Correct Answer: D

Rationale: Using separate applicators for each nare prevents cross-contamination and ensures an accurate sample for MRSA screening.

Question 2 of 5

Which nursing interventions should the nurse implement for the client diagnosed with a pulmonary embolus who is undergoing thrombolytic therapy? Select all that apply.

A. Keep protamine sulfate readily available.B. Avoid applying pressure to venipuncture sites.C. Assess for overt and covert signs of bleeding.D. Avoid invasive procedures and injections.E. Administer stool softeners as ordered.

Correct Answer: B,C,D

Rationale: Avoiding pressure (
B), monitoring bleeding (
C), and avoiding procedures (
D) prevent hemorrhage during thrombolytics. Protamine (
A) reverses heparin, and softeners (E) are unrelated.

Question 3 of 5

The nurse is preparing to administer influenza vaccines to a group of elderly clients in a long-term care facility. Which client should the nurse question receiving the vaccine?

A. The client diagnosed with congestive heart failure.B. The client with a documented allergy to eggs.C. The client who has had an anaphylactic reaction to penicillin.D. The client who has an elevated blood pressure and pulse.

Correct Answer: B

Rationale: Influenza vaccines are often grown in eggs, making egg allergy (
B) a contraindication due to anaphylaxis risk. Congestive heart failure (
A), penicillin allergy (
C), and elevated vitals (
D) are not contraindications for the flu vaccine.

Question 4 of 5

The nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. Which information provided by the UAP warrants immediate intervention by the nurse?

A. The client diagnosed with cancer of the lung has a small amount of blood in the sputum collection cup.B. The client diagnosed with chronic emphysema is sitting on the side of the bed and leaning over the bedside table.C. The client receiving Procrit, a biologic response modifier, has a T 99.2°F, P 68, R 24, and BP of 198/102.D. The client receiving prednisone, a steroid, is complaining of an upset stomach after eating breakfast.

Correct Answer: C

Rationale: Hypertension (198/102) with Procrit (
C) suggests a serious side effect, requiring immediate intervention. Hemoptysis (
A), tripod position (
B), and stomach upset (
D) are expected or less urgent.

Question 5 of 5

Before recommending the use of a nonprescription decongestant to a client with a cold, which aspect of the medical history should be assessed? Select all that apply.

A. ArthritisB. AsthmaC. HypertensionD. DiabetesE. GlaucomaF. Arrhythmias

Correct Answer: C, E, F

Rationale: Decongestants can exacerbate hypertension, glaucoma, and arrhythmias due to their vasoconstrictive effects. Asthma is also a concern as decongestants may worsen respiratory symptoms in some cases.

NCLEX Questions Respiratory | Nurselytic

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