NCLEX Questions Respiratory

Extract:

Question 1 of 5

Before recommending the use of a nonprescription decongestant to a client with a cold, which aspect of the medical history should be assessed? Select all that apply.

Correct Answer: C, E, F

Rationale: Decongestants can exacerbate hypertension, glaucoma, and arrhythmias due to their vasoconstrictive effects. Asthma is also a concern as decongestants may worsen respiratory symptoms in some cases.

Question 2 of 5

Which statement by the client would indicate to the nurse that the client has an accurate understanding of the planned surgery?

A. The surgeon is planning to remove one of my lungs. B. Only one lobe of my lung will be removed. C. The surgeon will take a sample of my lung tissue to be biopsied during the procedure. D. A lung will be opened and examined during surgery.

Correct Answer: A

Rationale: A pneumonectomy involves removing an entire lung, so the client's statement reflects accurate understanding.

Question 3 of 5

A patient receiving medical treatment for an active tuberculosis infection asks when she can starting going out in public again. You respond that she is no longer contagious when:

A. She has 3 negative sputum cultures B. Her signs and symptoms improve C. She has completed the full medication regime D. Her chest x-ray is normal E. She has been on tuberculosis medications for about 3 weeks

Correct Answer: A,B,E

Rationale: These are all criteria for when a patient with active TB can return to public life (school, work, running errands). Until then they are still contagious and must stay home in isolation.

Question 4 of 5

Which discharge instruction is most appropriate for reducing the client's fatigue and shortness of breath during mealtimes?

A. Eat simple carbohydrates for quick energy. B. Eat fatty foods to get maximum caloric intake. C. Eat frequent, small meals to reduce energy use. D. Eat the largest meal late at night before sleep.

Correct Answer: C

Rationale: Frequent, small meals reduce the energy required for digestion, minimizing fatigue and shortness of breath in COPD clients.

Question 5 of 5

The client who has undergone a radical neck dissection and tracheostomy for cancer of the larynx is being discharged. Which discharge instructions should the nurse teach? Select all that apply.

A. The client will be able to speak again after the surgery area has healed. B. The client should wear a protective covering over the stoma when showering. C. The client should clean the stoma and then apply a petroleum-based ointment. D. The client should use a humidifier in the room. E. The client can get a special telephone for communication.

Correct Answer: B,D,E

Rationale: Showering protection (
B), humidifiers (
D), and special phones (E) support tracheostomy care. Speech (
A) is lost permanently, and petroleum ointment (
C) risks infection.

NCLEX Questions Respiratory | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN