NCLEX-PN
Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
A patient has a positive PPD skin test that shows an 8 mm induration. As the nurse you know that:
Correct Answer: B
Rationale: A positive PPD test (8 mm induration) indicates TB exposure but does not confirm active disease. A chest X-ray and sputum culture are needed to differentiate latent from active TB before treatment or precautions are initiated.
Question 2 of 5
Your patient, who is receiving Pyrazinamide, report stiffness and extreme pain in the right big toe. The site is extremely red, swollen, and warm. You notify the physician and as the nurse you anticipated the doctor will order?
Correct Answer: C
Rationale: This medication can increase uric acid levels which can lead to gout. The patient's signs and symptoms are classic findings in a gout attack.
Question 3 of 5
The nurse is assessing the client with COPD. Which health promotion information is most important for the nurse to obtain?
Correct Answer: C
Rationale: Correct inhaler use (
C) ensures effective COPD management, a priority for health promotion. Smoking history (
A), risk factors (
B), and lifestyle (
D) are important but secondary.
Question 4 of 5
The nurse observes the client sitting on the side of the bed with the arms propped on the over-bed table. The chest is barrel shaped and the client is breathing though lips spaced close together and is exhaling slowly. Which concept is priority for this client?
Correct Answer: D
Rationale: Tripod position, barrel chest, and pursed-lip breathing (
D) indicate COPD with oxygenation as the priority. Mobility (
A), nutrition (
B), and activity (
C) are secondary.
Question 5 of 5
The nurse is presenting a class on chest tubes. Which statement best describes a tension pneumothorax?
Correct Answer: C
Rationale: Tension pneumothorax traps air in the pleural space (
C), increasing pressure. Bleb rupture (
A) causes simple pneumothorax, free air movement (
B) is open pneumothorax, and central line (
D) is a cause, not definition.