NCLEX Respiratory Questions | Nurselytic

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NCLEX Respiratory Questions Questions

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Question 1 of 5

As the nurse you know that one of the reasons for an increase in multidrug-resistant tuberculosis is:

Correct Answer: D

Rationale: Patients must be on medication treatment for about 6-12 months (depending on the type of TB the patient has). This leads to noncompliant issues. DOT (directly observed therapy) is now being instituted so compliance is increased. This is where a public health nurse or a trained DOT worker will deliver the medication and watch the patient swallow the pill until treatment is complete.

Question 2 of 5

The charge nurse on a surgical floor is making assignments. Which client should be assigned to the most experienced registered nurse (RN)?

Correct Answer: C

Rationale: Purulent drainage post-Caldwell-Luc (
C) suggests infection, requiring experienced assessment. Antral irrigation (
A), tonsillectomy refusal (
B), and antibiotics (
D) are less complex.

Question 3 of 5

Your patient has a deep vein thrombosis in the left lower extremity. The patient is prescribed continuous IV Heparin. Select all the nursing interventions that are appropriate for this patient:

Correct Answer: B,D,G

Rationale: Nursing interventions for this patient include: measuring leg circumference, elevating affected extremity above heart level, and monitoring aPTT level (for Heparin therapy). Why are the other options wrong? Option A: WARM compresses should be used, NOT cool (this will help with pain and circulation), Option C: this could dislodge the clot (NEVER massage or rub the site), Option E: the patient needs bed rest...ambulation could dislodge the clot, Option F: INR level is used to monitor Warfarin NOT Heparin, Option H: SCDs are NOT applied to an extremity with a clot because it could dislodge the clot...they are used to PREVENT blood clots.

Question 4 of 5

Which nursing observation provides the best evidence that postural drainage is effective?

Correct Answer: D

Rationale: Raising a large volume of sputum indicates that postural drainage is effectively clearing secretions from the airways.

Question 5 of 5

A patient has a PPD skin test (Mantoux test). As the nurse you tell the patient to report back to the office in so the results can be interpreted?

Correct Answer: C

Rationale: The patient should report back in 48-72 hours. If they fail to, the test must be repeated.

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The nurse is caring for a client diagnosed with a pneumothorax who had chest tubes inserted four (4) hours ago. There is no fluctuating (tidaling) in the water-seal compartment of the closed chest drainage system. Which action should the nurse implement first?

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