NCLEX-PN
NCLEX Respiratory Questions Questions
Extract:
Question 1 of 5
If the client is typical of most others diagnosed with lung cancer, which early-warning sign was most likely ignored?
Correct Answer: C
Rationale: A persistent cough is a common early symptom of lung cancer that is often ignored, delaying diagnosis.
Question 2 of 5
The nurse is caring for a client with a right-sided chest tube that is accidentally pulled out of the pleural space. Which action should the nurse implement first?
Correct Answer: D
Rationale: An occlusive dressing taped on three sides (
D) prevents air entry while allowing air exit, a priority. Notification (
A), shallow breaths (
B), and monitoring (
C) follow.
Question 3 of 5
The wife of a client with active tuberculosis has a positive skin test for tuberculosis. She is to be started on prophylactic drug therapy. What drug is the drug of choice for prophylaxis of tuberculosis?
Correct Answer: C
Rationale: Isoniazid is the drug of choice for tuberculosis prophylaxis due to its effectiveness in preventing active disease.
Question 4 of 5
The nurse instructs the client's spouse to empty and thoroughly clean the vaporizer after each use. Which rationale provides the basis for the nurse's instruction?
Correct Answer: B
Rationale: A cool-mist vaporizer can harbor pathogens like bacteria and mold if not cleaned properly, potentially worsening respiratory symptoms.
Question 5 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.