NCLEX-PN
Respiratory NCLEX Questions Questions
Question 1 of 5
If the client has normal cardiovascular and renal function, what is an appropriate goal for oral intake in the next 24-hour period?
Correct Answer: D
Rationale: For a client with fever and influenza, 3,000 mL of fluid intake helps prevent dehydration, assuming normal cardiovascular and renal function.
Question 2 of 5
A patient is admitted with pneumonia. Sputum cultures show that the patient is infected with a gram positive bacterium. The patient is allergic to Penicillin. Which medication would the patient most likely be prescribed?
Correct Answer: A
Rationale: For gram-positive bacterial pneumonia in a penicillin-allergic patient, macrolides like azithromycin are commonly prescribed due to their efficacy and safety. Cephalosporins may cross-react with penicillin allergies, Penicillin G is contraindicated, and Tamiflu is for viral infections.
Question 3 of 5
The nurse is caring for the client diagnosed with bacterial pneumonia. Which priority intervention should the nurse implement?
Correct Answer: C
Rationale: Administering oxygen as prescribed (
C) is the priority for bacterial pneumonia to address hypoxemia, a common issue due to impaired gas exchange. Assessing respiratory rate (
A) is important but secondary to ensuring oxygenation. Rest (
B) and breathing techniques (
D) support recovery but are not the first priority.
Question 4 of 5
After administering the first puff of medication, what client action demonstrates proper use of the inhaler?
Correct Answer: B
Rationale: Holding the breath for up to 10 seconds after inhaling allows the medication to deposit in the lungs effectively.
Question 5 of 5
The nurse provides directions to the client on the proper use of a peak flow meter. Arrange the steps for the nurse's instruction to the client on the proper use of a peak flow meter in the correct sequence.
Order the Items
Source Container
Correct Answer: A, B, C, D, E, F
Rationale: The correct sequence is: 1. Slide the marker to zero, 2. Take a deep breath, 3. Put the mouthpiece in your mouth, 4. Blow out as fast as you can, 5. Empty all of the air from your lungs, 6. Record the highest rating.