NCLEX-PN
NCLEX Questions Respiratory Questions
Extract:
Question 1 of 5
The client diagnosed with a pulmonary embolus is in the intensive care department. Which assessment data warrant immediate intervention from the nurse?
Correct Answer: C
Rationale: SpO2 90% (
C) indicates hypoxia in PE, requiring immediate oxygen adjustment. Normal ABGs (
A), occasional PVCs (
B), and urine output (
D) are less urgent.
Question 2 of 5
Which client problems are appropriate for the nurse to include in the plan of care for the client diagnosed with COPD? Select all that apply.
Correct Answer: A,C,D,E
Rationale: COPD causes impaired gas exchange (
A), activity intolerance (
C), role changes (
D), and nutritional issues (E) from energy demands. Temperature intolerance (
B) is not primary.
Question 3 of 5
A 52-year old female patient is receiving medical treatment for a possible tuberculosis infection. The patient is a U.S. resident but grew up in a foreign country. She reports that as a child she received the BCG vaccine (bacille Calmette-Guerin vaccine). Which physician's order below would require the nurse to ask the doctor for an order clarification?
Correct Answer: A
Rationale: The BCG vaccine can cause false-positive PPD (Mantoux) test results, making it unreliable in patients with a BCG history. The nurse should clarify this order, as an IGRA test (e.g., QuantiFERON-TB Gold) or other diagnostics are preferred.
Question 4 of 5
A patient is taking Streptomycin. Which finding below requires the nurse to notify the physician?
Correct Answer: C
Rationale: Streptomycin can cause ototoxicity, leading to symptoms like ringing in the ears (tinnitus). This requires immediate physician notification to prevent further hearing damage.
Question 5 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.