NCLEX-PN
Respiratory System NCLEX Questions Questions
Extract:
Question 1 of 5
A patient has a PPD skin test (Mantoux test). As the nurse you tell the patient to report back to the office in so the results can be interpreted?
Correct Answer: C
Rationale: The PPD skin test (Mantoux) is read 48-72 hours after administration to assess for induration, as this is the standard timeframe for an accurate immune response to be visible.
Question 2 of 5
Which assessment finding noted by the nurse on the client's return to the room is an early indication that the client's oxygenation status is compromised?
Correct Answer: B
Rationale: Restlessness is an early sign of hypoxia, indicating compromised oxygenation status, which requires immediate attention.
Question 3 of 5
Which statement indicates the client with a total laryngectomy requires more teaching concerning the care of the tracheostomy?
Correct Answer: D
Rationale: Using an electric larynx (
D) is related to speech, not tracheostomy care, indicating a misunderstanding of tracheostomy management. Avoiding hair spray/powders (
A), showering (
B), and daily stoma cleaning (
C) are correct tracheostomy care practices.
Question 4 of 5
Before suctioning, the nurse attaches a pulse oximeter to the client's finger. Which nursing actions are appropriate at this time? Select all that apply.
Correct Answer: A, B, C, F
Rationale: Removing nail polish, positioning the sensor correctly, connecting the cable, and relocating the sensor periodically ensure accurate pulse oximetry readings.
Question 5 of 5
The influenza vaccine is in short supply. Which group of clients would the public health nurse consider priority when administering the vaccine?
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.