NCLEX Questions Respiratory

Extract:

Question 1 of 5

An adult is being treated with isoniazid (INH) and streptomycin for active tuberculosis. He is also receiving pyridoxine (vitamin B6). Why is this medication prescribed for him?

Correct Answer: C

Rationale: Pyridoxine is prescribed to prevent INH-induced peripheral neuritis by supporting nerve function.

Question 2 of 5

Which datum requires immediate intervention by the nurse for the client diagnosed with asbestosis?

A. The client develops an S3 heart sound. B. The client has clubbing of the fingers. C. The client is fatigued in the afternoon. D. The client has basilar crackles in all lobes.

Correct Answer: A

Rationale: An S3 heart sound (
A) indicates heart failure, a serious complication in asbestosis due to pulmonary hypertension, requiring immediate intervention. Clubbing (
B) is a chronic finding, not acute. Fatigue (
C) is common but not urgent. Basilar crackles (
D) are expected in asbestosis and less critical than cardiac issues.

Question 3 of 5

Which finding best indicates that the sponge bath is having a therapeutic effect on the client?

A. The client feels more comfortable. B. The client begins sweating profusely. C. The client's temperature is 101°F (38.3°C). D. The client's skin is flushed.

Correct Answer: C

Rationale: A reduced temperature (101°F) directly indicates the sponge bath is effectively lowering the client's fever.

Question 4 of 5

The nurse is caring for the client diagnosed with pneumonia. Which information should the nurse include in the teaching plan? Select all that apply.

A. Place the client on oxygen delivered by nasal cannula. B. Plan for periods of rest during activities of daily living. C. Place the client on a fluid restriction of 1,000 mL/day. D. Restrict the client's smoking to two (2) to three (3) cigarettes per day. E. Monitor the client's pulse oximetry readings every four (4) hours.

Correct Answer: B,E

Rationale: Rest periods (
B) conserve energy, and pulse oximetry (E) monitors oxygenation in pneumonia. Oxygen (
A) depends on SpO2, fluid restriction (
C) is inappropriate, and smoking (
D) must stop.

Question 5 of 5

After levalbuterol hydrochloride (Xopenex) administration, which client symptom does the nurse evaluate as a side effect of the medication?

A. Respiratory rate of 28 breaths/minute B. Heart rate of 96 beats/minute C. Blood pressure of 100/60 mm Hg D. Drowsiness

Correct Answer: B

Rationale: Levalbuterol, a beta-agonist, commonly causes an increased heart rate as a side effect due to its stimulatory effects.

NCLEX Questions Respiratory | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN