NCLEX-PN
Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
A farmer who has had a cough for several months has noticed a lack of energy lately. He is being tested for histoplasmosis. Which factor reported by the client would be most related to the diagnosis of histoplasmosis?
Correct Answer: B
Rationale: Cleaning chicken houses exposes the client to bird droppings, a common source of Histoplasma capsulatum, the fungus causing histoplasmosis.
Question 2 of 5
An adult had a negative purified protein derivative (PPD) test when he was first employed two years ago. A year later, the client had a positive PPD test and a negative chest x-ray. This indicated that at that time the client:
Correct Answer: C
Rationale: A positive PPD with a negative chest x-ray indicates exposure to Mycobacterium tuberculosis with an immune response but no active pulmonary disease.
Question 3 of 5
The charge nurse is making client assignments on a medical floor. Which client should the charge nurse assign to the licensed practical nurse (LPN)?
Correct Answer: D
Rationale: Post-bronchoscopy (
D) is stable for LPN care. Hypoxia (
A), anemia (
B), and JVD/hypotension (
C) require RN assessment.
Question 4 of 5
The nurse is caring for the client diagnosed with ARDS. Which interventions should the nurse implement? Select all that apply.
Correct Answer: A,C,D,E
Rationale: LOC assessment (
A), turning (
C), IV fluids (
D), and Fowler’s position (E) support ARDS care. Urine output (
B) should be monitored hourly, not per shift.
Question 5 of 5
Which nursing action is essential before suctioning the client with a tracheostomy tube?
Correct Answer: A
Rationale: Preoxygenating the client prevents hypoxia during suctioning, which can temporarily reduce oxygen intake.