NCLEX-PN
Respiratory System NCLEX Questions Questions
Extract:
Question 1 of 5
A patient taking Isoniazid (INH) should be monitored for what deficiency?
Correct Answer: C
Rationale: Isoniazid can cause peripheral neuropathy due to vitamin B6 (pyridoxine) deficiency. Patients are often given B6 supplements and monitored for this deficiency.
Question 2 of 5
Which clinical manifestation should the nurse expect to assess in the client recently diagnosed with COPD?
Correct Answer: C
Rationale: Chronic sputum production (
C) is a hallmark of COPD (chronic bronchitis). Clubbing (
A) is late-stage, infections (
B) are frequent, and nonproductive cough (
D) is atypical.
Question 3 of 5
You are about to hang a bag of intravenous Vancomycin for a patient who has severe pneumonia. Which statement by the patient causes you to hold the bag of Vancomycin and notify the doctor immediately?
Correct Answer: D
Rationale: Ringing in the ears indicates potential ototoxicity, a serious vancomycin side effect requiring immediate cessation and physician notification. Other symptoms (A, B,
C) are less specific and not immediately alarming.
Question 4 of 5
Which isolation procedure should be instituted for the client admitted to rule out severe acute respiratory syndrome (SARS)?
Correct Answer: A
Rationale: SARS is transmitted via respiratory droplets and possibly aerosols, requiring airborne isolation (
A) with a negative pressure room and N95 masks. Droplet isolation (
B) is insufficient for potential aerosol transmission. Reverse isolation (
C) protects immunocompromised patients, not applicable here. Strict isolation (
D) is not a standard term for SARS precautions.
Question 5 of 5
You assist your patient with using their inhaler. The inhaler contains the medication Budesonide. Before administering the inhaler, you will want to connect what device to the inhaler to help decrease the patient from developing?
Correct Answer: C
Rationale: A spacer helps deliver Budesonide, an inhaled corticosteroid, more effectively to the lungs, reducing the risk of oral thrush by minimizing medication deposition in the mouth.