Respiratory NCLEX Questions

Extract:

Question 1 of 5

After the client receives the weekly injection, which nursing instruction is essential?

Correct Answer: B

Rationale: Clients must wait at least 30 minutes after an allergy injection to monitor for potential allergic reactions, such as anaphylaxis.

Question 2 of 5

After administering the first puff of medication, what client action demonstrates proper use of the inhaler?

A. The client depresses the canister a second time before exhaling. B. The client holds his or her breath for up to 10 seconds before exhaling. C. The client cleans the mouthpiece with a clean paper tissue or cloth. D. The client bends from the waist to increase the exhaled volume.

Correct Answer: B

Rationale: Holding the breath for up to 10 seconds after inhaling allows the medication to deposit in the lungs effectively.

Question 3 of 5

The 56-year-old client diagnosed with tuberculosis (Tb) is being discharged. Which statement made by the client indicates an understanding of the discharge instructions?

A. I will take my medication for the full three (3) weeks prescribed. B. I must stay on the medication for months if I am to get well. C. I can be around my friends because I have started taking antibiotics. D. I should get a Tb skin test every three (3) months to determine if I am well.

Correct Answer: B

Rationale: TB treatment requires months of antibiotics (
B) for cure. Three weeks (
A) is too short, antibiotics don’t eliminate transmission risk immediately (
C), and skin tests (
D) monitor exposure, not cure.

Question 4 of 5

The client diagnosed with exercise-induced asthma (EIA) is being discharged. Which information should the nurse include in the discharge teaching?

A. Take two (2) puffs on the rescue inhaler and wait five (5) minutes before exercise. B. Warm-up exercises will increase the potential for developing the asthma attacks. C. Use the bronchodilator inhaler immediately prior to beginning to exercise. D. Increase dietary intake of food high in monosodium glutamate (MSG).

Correct Answer: A

Rationale: Two puffs of a rescue inhaler 5 minutes before exercise (
A) prevents EIA. Warm-ups (
B) reduce attacks, immediate use (
C) is less effective, and MSG (
D) is a trigger.

Question 5 of 5

You're developing a plan of care for a patient who is at risk for the development of a deep vein thrombosis after surgery. What nursing intervention below would the nurse NOT include in the patient's plan of care to prevent DVT formation?

A. The patient will eat all meals out of the bed daily by sitting in the bedside chair. B. The nurse will apply sequential compression devices (SCDs) per physician's order to the patient's lower extremities every night at bedtime. C. The nurse will administer per physician's order Enoxaparin in the subcutaneous tissue of the abdomen. D. The patient will ambulate daily.

Correct Answer: B

Rationale: Yes, the nurse would apply SCDs per MD order to help prevent DVTs, BUT they are to be applied and worn by the patient anytime they are in bed or sitting. The only time a patient should not wear the SCDs is when they're ambulating.
Therefore, the nurse would NOT just apply them at bedtime but during the day too.

Respiratory NCLEX Questions | Nurselytic

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