NCLEX-PN
Respiratory System NCLEX Questions Questions
Extract:
Question 1 of 5
A 55-year old male patient is admitted with an active tuberculosis infection. The nurse will place the patient in precautions and will always wear when providing patient care?
Correct Answer: B
Rationale: Active tuberculosis requires airborne precautions due to its transmission via respiratory droplets. A respirator (e.g., N95) is required for healthcare workers, not a surgical mask, to protect against inhaling the bacteria.
Question 2 of 5
A patient was admitted to the intensive care unit 48 hours ago for treatment of a gunshot wound. The patient has recently developed a productive cough and a fever of 104.3 ' $F$. The patient is breathing on their own and doesn't require mechanical ventilation. On assessment, you note coarse crackles in the right lower lobe. A chest x-ray shows infiltrates with consolidation in the right lower lobe. Based on this specific patient scenario, this is known as what type of pneumonia?
Correct Answer: C
Rationale: Hospital-acquired pneumonia (HAP) develops 48 hours or more after hospital admission, as seen in this patient. Aspiration pneumonia is linked to inhaling foreign material, ventilator-acquired pneumonia requires mechanical ventilation, and community-acquired pneumonia occurs outside healthcare settings.
Question 3 of 5
Which of the following statements are incorrect about discharge teaching that you would provide to a patient with COPD? Select-all-that-apply:
Correct Answer: A,C
Rationale: Eating small, frequent meals (not three large meals,
A) prevents diaphragm compression, and Pneumovax is not annual but given once or as per guidelines. Avoiding extreme weather and smoking cessation are correct.
Question 4 of 5
You are about to hang a bag of intravenous Vancomycin for a patient who has severe pneumonia. Which statement by the patient causes you to hold the bag of Vancomycin and notify the doctor immediately?
Correct Answer: D
Rationale: Ringing in the ears indicates potential ototoxicity, a serious vancomycin side effect requiring immediate cessation and physician notification. Other symptoms (A, B,
C) are less specific and not immediately alarming.
Question 5 of 5
Which statement indicates to the nurse the client diagnosed with sleep apnea needs further teaching?
Correct Answer: D
Rationale: Alcohol (
D) worsens sleep apnea by relaxing airway muscles, contradicting effective CPAP use. Weight loss (
A) can reduce sleep apnea severity. CPAP maintaining airway patency (
B) and improving daytime alertness (
C) are correct.