Respiratory NCLEX Questions

Extract:

Question 1 of 5

A patient is taking Streptomycin. Which finding below requires the nurse to notify the physician?

Correct Answer: C

Rationale: This medication can be very toxic to the ears (cranial nerve 8).
Therefore, it is alarming if the patient reports ringing in their ears, which could represent ototoxicity.

Question 2 of 5

The nurse is preparing to administer the oral anticoagulant warfarin (Coumadin) to a client who has a PT/PTT of 22/39 and an INR of 2.8. What action should the nurse implement?

A. Assess the client for abnormal bleeding. B. Prepare to administer vitamin K (AquaMephyton). C. Administer the medication as ordered. D. Notify the HCP to obtain an order to increase the dose.

Correct Answer: C

Rationale: INR 2.8 (
C) is therapeutic for PE (2–3), so administer warfarin. Bleeding assessment (
A) is routine, vitamin K (
B) reverses overdose, and increasing dose (
D) is unnecessary.

Question 3 of 5

Which of the following are typical signs and symptoms of pneumonia? Select-all-that-apply:

A. Stridor B. Coarse crackles C. Oxygen saturation less than $90 \%$ D. Non-productive, nagging cough E. Elevated white blood cells F. Low PCO2 of less than 35 G. Tachypnea

Correct Answer: B,C,E,G

Rationale: Pneumonia typically presents with coarse crackles due to fluid in alveoli, low oxygen saturation from impaired gas exchange, elevated WBCs indicating infection, and tachypnea (G) as a compensatory mechanism. Stridor is associated with upper airway obstruction, non-productive cough is less common, and low PCO2 suggests hyperventilation, not typical.

Question 4 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?

A. He drinks raw milk. B. He cleans chicken houses. C. He handles fertilizer frequently. D. He stepped on a rusty nail recently.

Correct Answer: B

Rationale: Cleaning chicken houses exposes the client to bird droppings, a common source of Histoplasma capsulatum, the fungus causing histoplasmosis.

Question 5 of 5

You're developing a plan of care for a patient who is at risk for the development of a deep vein thrombosis after surgery. What nursing intervention below would the nurse NOT include in the patient's plan of care to prevent DVT formation?

A. The patient will eat all meals out of the bed daily by sitting in the bedside chair. B. The nurse will apply sequential compression devices (SCDs) per physician's order to the patient's lower extremities every night at bedtime. C. The nurse will administer per physician's order Enoxaparin in the subcutaneous tissue of the abdomen. D. The patient will ambulate daily.

Correct Answer: B

Rationale: Yes, the nurse would apply SCDs per MD order to help prevent DVTs, BUT they are to be applied and worn by the patient anytime they are in bed or sitting. The only time a patient should not wear the SCDs is when they're ambulating.
Therefore, the nurse would NOT just apply them at bedtime but during the day too.

Respiratory NCLEX Questions | Nurselytic

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