Respiratory NCLEX Questions

Extract:

Question 1 of 5

A 48-year old homeless man, who is living in a local homeless shelter and is an IV drug user, has arrived to the clinic to have his PPD skin test assessed. What is considered a positive result?

Correct Answer: D

Rationale: 15 mm induration is positive in ALL people regardless of health history or risk factors. However, for patients who are homeless (living in homeless shelter) and are IV drug users, a 10 mm or more is considered positive.

Question 2 of 5

You are assessing your newly admitted patients who are all presenting with atypical signs and symptoms of a possible lung infection. The physician suspects tuberculosis. So, therefore, the patients are being monitored and tested for the disease. Select all the risk factors below that increases a patient's risk for developing tuberculosis:

A. Diabetes B. Liver failure C. Long-term care resident D. Inmate E. IV drug user F. HIV G. U.S. resident

Correct Answer: A,C,D,E,F

Rationale: Risk factors for tuberculosis include conditions or environments that weaken the immune system or increase exposure: diabetes , long-term care residency , incarceration , IV drug use , and HIV . Liver failure is not a direct risk factor, and being a U.S. resident is not specific enough.

Question 3 of 5

The client diagnosed with ARDS is transferred to the intensive care department and placed on a ventilator. Which intervention should the nurse implement first?

A. Confirm that the ventilator settings are correct. B. Verify that the ventilator alarms are functioning properly. C. Assess the respiratory status and pulse oximeter reading. D. Monitor the client's arterial blood gas results.

Correct Answer: C

Rationale: Assessing respiratory status and SpO2 (
C) ensures immediate patient stability. Ventilator settings (
A), alarms (
B), and ABGs (
D) follow.

Question 4 of 5

The HCP has recommended a total laryngectomy for a male client diagnosed with cancer of the larynx but the client refuses. Which intervention by the nurse illustrates the ethical principle of nonmalfeasance?

A. The nurse listens to the client explain why he is refusing surgery. B. The nurse and significant other insist that the client have the surgery. C. The nurse refers the client to a counselor for help with the decision. D. The nurse asks a cancer survivor to come and discuss the surgery with the client.

Correct Answer: A

Rationale: Listening to the client’s reasons (
A) respects autonomy and avoids harm (nonmalfeasance). Insisting (
B), counseling (
C), and survivor talks (
D) may pressure or influence unduly.

Question 5 of 5

Which statement by the client best indicates that the client understands the rationale for the direct laryngoscopy?

A. The test will tell if my hoarseness is caused by tracheal polyps. B. The physician says that hoarseness can lead to bronchitis. C. I need to have the test because hoarseness is a symptom of laryngeal cancer. D. The physician wants to see if my hoarseness is because of enlarged tonsils.

Correct Answer: C

Rationale: Persistent hoarseness can be a symptom of laryngeal cancer, and direct laryngoscopy is used to visualize the larynx for abnormalities like tumors.

Respiratory NCLEX Questions | Nurselytic

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