NCLEX Respiratory Questions

Extract:

Question 1 of 5

A patient with emphysema may present with all of the following symptoms EXCEPT?

Correct Answer: C

Rationale: Emphysema causes barrel chest , lung hyperinflation , and often hypercapnia due to air trapping. Hypoventilation is not typical, as patients hyperventilate to compensate for poor gas exchange.

Question 2 of 5

Which nursing assessment is most important when caring for a client experiencing a severe allergic reaction?

A. Taking the client's temperature B. Assessing the client's blood pressure C. Monitoring the client's respiratory status D. Checking the client's pupillary response

Correct Answer: C

Rationale: Monitoring respiratory status is critical during a severe allergic reaction, as anaphylaxis can cause airway obstruction and respiratory distress.

Question 3 of 5

The nurse is planning care for a client who has COPD. Which statement is the client most likely to say about activity tolerance?

A. The most difficult time of the day for me is the first hour after waking up in the morning.' B. I feel best in the morning after a good night's sleep.' C. I seem to have more energy after eating a big meal.' D. I don't know why, but I get my 'second wind' at night and don't want to go to bed.'

Correct Answer: A

Rationale: Morning fatigue is common in COPD due to mucus accumulation and poor sleep, affecting activity tolerance.

Question 4 of 5

The client diagnosed with a community-acquired pneumonia is being admitted to the medical unit. Which nursing intervention has the highest priority?

A. Administer the ordered oral antibiotic immediately (STAT). B. Order the meal tray to be delivered as soon as possible. C. Obtain a sputum specimen for culture and sensitivity. D. Have the unlicensed assistive personnel weigh the client.

Correct Answer: C

Rationale: Obtaining sputum culture (
C) before antibiotics ensures accurate pathogen identification, a priority. Antibiotics (
A) follow, meals (
B) and weight (
D) are less urgent.

Question 5 of 5

When the client undergoes scratch skin testing, which sign best indicates a hypersensitivity to the scratched substance?

A. The skin at the test site feels numb. B. The skin at the test site feels painful. C. The skin at the test site looks red.

Correct Answer: C

Rationale: A positive skin test reaction is indicated by redness and swelling at the test site, showing a hypersensitivity response to the allergen.

NCLEX Respiratory Questions | Nurselytic

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