NCLEX-PN
NCLEX Questions Respiratory Questions
Extract:
Question 1 of 5
After levalbuterol hydrochloride (Xopenex) administration, which client symptom does the nurse evaluate as a side effect of the medication?
Correct Answer: B
Rationale: Levalbuterol, a beta-agonist, commonly causes an increased heart rate as a side effect due to its stimulatory effects.
Question 2 of 5
Which agents should the nurse suspect as being the cause of the victims' symptoms? Select all that apply.
Correct Answer: B, E
Rationale: Sarin gas and cyanide are chemical agents that can cause rapid onset of dyspnea, weakness, and nausea, consistent with the symptoms described.
Question 3 of 5
Which assessment data indicate to the nurse the chest tubes inserted three (3) days ago have been effective in treating the client with a hemothorax?
Correct Answer: B
Rationale: No tidaling (
B) indicates lung re-expansion, showing effective hemothorax treatment. Bubbling (
A) suggests air leak, drainage (
C) is expected, and pain-free breathing (
D) is secondary.
Question 4 of 5
Which statement by the client would indicate to the nurse that the client has an accurate understanding of the planned surgery?
Correct Answer: A
Rationale: A pneumonectomy involves removing an entire lung, so the client's statement reflects accurate understanding.
Question 5 of 5
Which of the following patients are MOST at risk for developing pneumonia? Select-all-that-apply:
Correct Answer: A,C,D
Rationale: Patients recovering from surgery are at risk due to immobility and impaired cough reflex, those with COPD have chronic lung disease increasing susceptibility, and infants with RSV are prone to secondary bacterial pneumonia. The vaccinated patient has reduced risk due to immunity.