Respiratory System NCLEX Questions

Question 1 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.

Correct Answer: D

Rationale: 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 2 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.

Correct Answer: A

Rationale: 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 3 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.

Correct Answer: C

Rationale: 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 4 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.

Correct Answer: D

Rationale: 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.

Question 5 of 5

The employee health nurse is administering tuberculin skin testing to employees who have possibly been exposed to a client with active tuberculosis (Tb). Which statement indicates the need for radiological evaluation instead of skin testing?

A. The client's first skin test indicates a purple flat area at the site of injection.B. The client's second skin test indicates a red area measuring four (4) mm.C. The client's previous skin test was read as positive.D. The client has never shown a reaction to the tuberculin medication.

Correct Answer: C

Rationale: A prior positive TB skin test (
C) indicates exposure, requiring CXR to assess active disease, not repeat skin testing. Purple area (
A) is normal, 4 mm (
B) is negative, and no reaction (
D) warrants testing.

Respiratory System NCLEX Questions | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN