NCLEX-PN
NCLEX Questions Respiratory Questions
Extract:
Question 1 of 5
A patient is presenting with chronic obstructive pulmonary disease. The patient has a chronic productive cough with dyspnea on excretion. Arterial blood gases show a low oxygen level and high carbon dioxide level in the blood. On assessment, the patient has cyanosis in the lips and edema in the abdomen and legs. Based on your nursing knowledge and the patient's symptoms, you suspect the patient suffers from what type of COPD?
Correct Answer: C
Rationale: Chronic bronchitis , a type of COPD, is characterized by chronic productive cough, hypoxemia, hypercapnia, cyanosis, and edema from right heart failure. Emphysema typically shows barrel chest, pneumonia is an infection, and pneumothorax involves lung collapse.
Question 2 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: A
Rationale: For high-risk individuals (e.g., homeless, IV drug users), a PPD induration of ≥5 mm is considered positive due to their increased risk of TB exposure and progression.
Question 3 of 5
Which task is most appropriate for the nurse to delegate to an unlicensed assistive personnel (UAP)?
Correct Answer: B
Rationale: Encouraging juice intake (
B) is within UAP scope and safe. Feeding post-tonsillectomy (
A) risks bleeding, throat cultures (
C) require training, and smoking (
D) is contraindicated.
Question 4 of 5
When the nurse is teaching a client to self-administer nose drops, which head position is appropriate?
Correct Answer: C
Rationale: Tilting the head backward allows nose drops to reach the nasal passages effectively by gravity, ensuring proper distribution of the medication.
Question 5 of 5
Which statement by the client would indicate to the nurse that the client has an accurate understanding of the planned surgery?
Correct Answer: A
Rationale: A pneumonectomy involves removing an entire lung, so the client's statement reflects accurate understanding.