NCLEX-PN
NCLEX Respiratory Questions Questions
Extract:
Question 1 of 5
How long after administering a tuberculin skin test should the nurse inspect the client's injection site?
Correct Answer: C
Rationale: The tuberculin skin test reaction is typically read 48 to 72 hours (2 to 3 days) after administration to assess for induration.
Question 2 of 5
Which health measure is most important to emphasize when instructing the client on ways to prevent transmitting tuberculosis?
Correct Answer: C
Rationale: Covering the nose and mouth when coughing prevents the spread of tuberculosis, an airborne disease, to others.
Question 3 of 5
The nurse is caring for a client with a right-sided chest tube secondary to a pneumothorax. Which interventions should the nurse implement when caring for this client? Select all that apply.
Correct Answer: B
Rationale: Frequent system checks (
B), securing tubing (
D), and monitoring emphysema (E) ensure chest tube function. Low Fowler’s (
A) is incorrect (semi-Fowler’s preferred), and bedrest (
C) is unnecessary.
Question 4 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 5 of 5
Which problem is appropriate for the nurse to identify for the client who is one (1) day postoperative thoracotomy?
Correct Answer: A
Rationale: Pain (alteration in comfort,
A) is a common issue post-thoracotomy due to surgical incision and chest tube placement, making it the most appropriate nursing diagnosis on day one. Altered consciousness (
B) is not typical unless complications arise. Elimination issues (
C) are less immediate. Knowledge deficit (
D) is relevant later for discharge teaching.