NCLEX-PN
NCLEX Questions Respiratory Questions
Extract:
Question 1 of 5
Select all the factors regarding a deep vein thrombosis that are included in Virchow's Triad:
Correct Answer: C,D,E
Rationale: Virchow's Triad details the THREE factors (hence why it called a triad) for blood clot formation within the vessel. Remember 'SHE': Stasis of Venous Blood, Hypercoagulability (means excessive coagulability), Endothelial damage.
Question 2 of 5
Your patient, who is receiving Pyrazinamide, report stiffness and extreme pain in the right big toe. The site is extremely red, swollen, and warm. You notify the physician and as the nurse you anticipated the doctor will order?
Correct Answer: C
Rationale: Pyrazinamide can cause hyperuricemia, leading to gout symptoms (pain, redness, swelling in joints like the big toe). The physician will likely order a uric acid level to confirm this side effect.
Question 3 of 5
An adult has a chest drainage system. Several hours after the chest tube was inserted, the nurse observes that there is no bubbling in the water seal chamber. What is the most likely reason for the absence of bubbling?
Correct Answer: A
Rationale: No bubbling in the water seal chamber typically indicates lung reexpansion, as air is no longer leaking from the lung into the pleural space.
Question 4 of 5
The nurse is assessing the client diagnosed with COPD. Which data require immediate intervention by the nurse?
Correct Answer: B
Rationale: High oxygen (8 LPM,
B) risks CO2 retention in COPD, requiring immediate adjustment (2–4 LPM). Sputum (
A), accessory muscles (
C), and barrel chest (
D) are expected but less urgent.
Question 5 of 5
The client diagnosed with lung cancer is being discharged. Which statement made by the client indicates more teaching is required?
Correct Answer: A
Rationale: Continued smoking (
A) worsens lung cancer outcomes, indicating a need for teaching. Follow-ups (
B), fever reporting (
C), and rest (
D) are correct.