NCLEX-PN
NCLEX Questions Respiratory Questions
Extract:
Question 1 of 5
The client diagnosed with chronic sinusitis who has undergone a Caldwell-Luc procedure is complaining of pain. Which intervention should the nurse implement first?
Correct Answer: D
Rationale: Pain assessment (
D) is the first step to determine severity and guide treatment. Narcotics (
A), oral hygiene (
B), and positioning (
C) follow based on assessment.
Question 2 of 5
When the client asks why the physician chose this particular drug to treat the pneumonia, which response by the nurse is best?
Correct Answer: A
Rationale: Penicillin is chosen based on the sensitivity report, indicating that the pneumococcal bacteria are susceptible to it.
Question 3 of 5
Before discharging a client with fractured ribs from the emergency department, which instruction is most important for the nurse to give the client?
Correct Answer: B
Rationale: Taking deep breaths periodically prevents atelectasis and pneumonia, which are risks with fractured ribs due to shallow breathing.
Question 4 of 5
The client diagnosed with oat cell carcinoma of the lung tells the nurse, 'I am so tired of all this. I might as well just end it all.' Which statement should be the nurse's first response?
Correct Answer: A
Rationale: Acknowledging feelings and offering to talk (
A) opens communication for suicidal ideation. Notifying HCP (
B), referring (
C), and assessing plans (
D) follow.
Question 5 of 5
The client diagnosed with chronic obstructive pulmonary disease (COPD) is admitted to the medical unit. The client has thin extremities, truncal obesity, and multiple ecchymotic areas on the arms. Based on the assessment data, which question should the nurse ask the client?
Correct Answer: A
Rationale: Thin limbs, truncal obesity, and ecchymosis (
A) suggest corticosteroid use (e.g., prednisone) in COPD. Abuse (
B), pressure ulcers (
C), and HOB elevation (
D) are less likely.