NCLEX Respiratory Questions

Extract:

Question 1 of 5

A patient taking Isoniazid (INH) should be monitored for what deficiency?

Correct Answer: C

Rationale: This medication can lead to low Vitamin B6 levels. Most patients will take a supplement of B6 while taking this medication.

Question 2 of 5

Based on Virchow's Triad, select which patients below are at RISK for the development of a deep vein thrombosis? Select all that apply:

A. A 55-year-old male with hyperlipidemia and diabetes. B. A 70-year-old female with severe sepsis. C. A 25-year-old male who uses intravenous drugs. D. A 65-year-old female who is post-op day 1 after joint replacement surgery.

Correct Answer: B,C,D

Rationale: Virchow's Triad details the THREE factors for blood clot formation within the vessel. Remember 'SHE': Stasis of Venous Blood, Hypercoagulability (means excessive coagulability), Endothelial damage. Patients who experience sepsis are at risk for hypercoagulability of the blood. Patients who use IV drugs damage the endothelial lining of the veins and this can lead to blood clot formation. Patients who've had joint replacement surgery are at risk for blood clots due to stasis of venous circulation etc.

Question 3 of 5

The nurse is caring for a client with a right-sided chest tube secondary to a pneumothorax. Which interventions should the nurse implement when caring for this client? Select all that apply.

A. Place the client in the low Fowler's position. B. Assess chest tube drainage system frequently. C. Maintain strict bedrest for the client. D. Secure a loop of drainage tubing to the sheet. E. Observe the site for subcutaneous emphysema.

Correct Answer: B

Rationale: Frequent system checks (
B), securing tubing (
D), and monitoring emphysema (E) ensure chest tube function. Low Fowler’s (
A) is incorrect (semi-Fowler’s preferred), and bedrest (
C) is unnecessary.

Question 4 of 5

The client diagnosed with ARDS is in respiratory distress and the ventilator is malfunctioning. Which intervention should the nurse implement first?

A. Notify the respiratory therapist immediately. B. Ventilate with a manual resuscitation bag. C. Request STAT arterial blood gases. D. Auscultate the client's lung sounds.

Correct Answer: B

Rationale: Manual ventilation (
B) ensures oxygenation during ventilator failure, a priority. Notification (
A), ABGs (
C), and auscultation (
D) follow.

Question 5 of 5

A client is admitted with a diagnosis of cancer of the larynx. Which statement made by the client is most likely related to the cause of his illness?

A. I have always enjoyed hot Mexican-style food.' B. I have smoked three packs of cigarettes a day for the last 40 years.' C. I used to work in a factory that burned coal.' D. I sang in the church choir every Sunday until my voice got hoarse last year.'

Correct Answer: B

Rationale: Cigarette smoking is the greatest risk factor for laryngeal cancer due to chronic exposure to carcinogens.

NCLEX Respiratory Questions | Nurselytic

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