NCLEX Questions Respiratory

Extract:

Question 1 of 5

If the client complains of GI side effects associated with rifampin (Rifadin), which nursing action is best?

Correct Answer: B

Rationale: Giving rifampin with food can reduce gastrointestinal side effects, such as nausea, without compromising its efficacy.

Question 2 of 5

To evaluate the significance of the client's bleeding, which additional assessment is most important for the nurse to make at this time?

A. Count the pulse rate. B. Listen to heart sounds. C. Check the pupillary response. D. Measure the chest expansion.

Correct Answer: D

Rationale: Measuring chest expansion helps assess for complications like pneumothorax, which could cause bleeding post-bronchoscopy.

Question 3 of 5

If the client develops a severe allergic reaction, which drug should the nurse have available?

A. Codeine sulfate B. Morphine sulfate (Roxanol) C. Dopamine (Intropin) D. Epinephrine (Adrenalin)

Correct Answer: D

Rationale: Epinephrine is the first-line treatment for severe allergic reactions (anaphylaxis) as it reverses airway constriction and stabilizes blood pressure.

Question 4 of 5

The nurse and a licensed practical nurse (LPN) are caring for five (5) clients on a medical unit. Which clients would the nurse assign to the LPN? Select all that apply.

A. The 32-year-old female diagnosed with exercise-induced asthma who has a forced vital capacity of 1,000 mL. B. The 45-year-old male with adult-onset asthma who is complaining of difficulty completing all of the ADLs at one time. C. The 92-year-old client diagnosed with respiratory difficulty who is beginning to be confused and keeps climbing out of bed. D. The 6-year-old client diagnosed with intrinsic asthma who is scheduled for discharge and the mother needs teaching about the medications. E. The 20-year-old client diagnosed with asthma who has a pulse oximetry reading of 95% and wants to sleep all the time.

Correct Answer: B,E

Rationale: Stable asthma clients with ADL difficulty (
B) and normal SpO2 (E) are suitable for LPN care. Low FVC (
A), confusion (
C), and discharge teaching (
D) require RN assessment.

Question 5 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.

NCLEX Questions Respiratory | Nurselytic

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NCLEX-PN

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