Respiratory NCLEX Questions

Extract:

Question 1 of 5

A patient with COPD is reporting depression and thoughts of suicide. The patient states, 'I just feel like ending it all.' You assess the patient's health history and note that the patient was recently started on which medication that could cause this side effect:

Correct Answer: C

Rationale: Roflumilast is associated with psychiatric side effects, including depression and suicidal thoughts. Other medications (A, B,
D) are less commonly linked to these effects.

Question 2 of 5

The nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a surgical floor. Which information provided by the UAP requires immediate intervention by the nurse?

A. There is a small, continuous amount of bright-red drainage coming out from under the dressing of the client who had a radical neck dissection. B. The client who has had a right upper lobectomy is complaining that the patient-controlled analgesia (PCA) pump is not providing any relief. C. The client diagnosed with cancer of the lung is complaining of being tired and short of breath. D. The client admitted with chronic obstructive pulmonary disease is making a whistling sound with every breath.

Correct Answer: A

Rationale: Bright-red drainage post-neck dissection (
A) suggests hemorrhage, requiring immediate action. PCA failure (
B), fatigue/SOB (
C), and wheezing (
D) are expected or less urgent.

Question 3 of 5

Which action is most appropriate for the nurse to take before the bronchoscopy?

A. Keep the client NPO for at least 6 hours. B. Have the client cough several times. C. Ensure that the client gets adequate sleep. D. Scrub the client's upper chest with an antiseptic.

Correct Answer: A

Rationale: Keeping the client NPO for at least 6 hours prevents aspiration during bronchoscopy, which involves sedation.

Question 4 of 5

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

A. Patient reports a change in vision. B. Patient reports a metallic taste in the mouth. C. The patient has ringing in their ears. D. The patient has a persistent dry cough.

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 5 of 5

Where on the client should the nurse position the sensor of the pulse oximeter to obtain an accurate measurement?

A. Apply it to the client's finger. B. Apply it to the client's palm. C. Clip it to the client's earlobe. D. Wrap it around the client's leg.

Correct Answer: A

Rationale: The finger is the most common and reliable site for pulse oximetry, providing accurate oxygenation readings.

Respiratory NCLEX Questions | Nurselytic

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