NCLEX Questions Respiratory

Extract:

Question 1 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.

Question 2 of 5

Which task is most appropriate for the nurse to delegate to an unlicensed assistive personnel (UAP)?

A. Feed a client who is postoperative tonsillectomy the first meal of clear liquids. B. Encourage the client diagnosed with a cold to drink a glass of orange juice. C. Obtain a throat culture on a client diagnosed with bacterial pharyngitis. D. Escort the client diagnosed with laryngitis outside to smoke a cigarette.

Correct Answer: B

Rationale: Encouraging juice intake (
B) is within UAP scope and safe. Feeding post-tonsillectomy (
A) risks bleeding, throat cultures (
C) require training, and smoking (
D) is contraindicated.

Question 3 of 5

A patient is ordered by the physician to take Pulmicort and Spiriva via inhaler. How should the patient take this medication?

A. The patient should use the medications every 2 hours for acute episodes of shortness of breath. B. The patient should use the Spiriva first and then 5 minutes later the Pulmicort. C. The patient should use the Pulmicort first and then the Spiriva 5 minutes later. D. The patient should use the medications at the same exact time, regardless of the order.

Correct Answer: B

Rationale: Spiriva (anticholinergic) should be used first to open airways, followed by Pulmicort (corticosteroid) 5 minutes later to reduce inflammation. Every 2 hours is incorrect for maintenance drugs, and order matters (C,
D).

Question 4 of 5

When the nurse obtains the nasal swab, which action is most accurate?

A. The nurse dons sterile gloves before obtaining the specimen. B. The swab is placed in the anterior portion of the nare and swept superiorly. C. The client is asked to blow the nose before the specimen is collected. D. The nurse uses separate applicators for each nare.

Correct Answer: D

Rationale: Using separate applicators for each nare prevents cross-contamination and ensures an accurate sample for MRSA screening.

Question 5 of 5

An adult is to have a thoracentesis performed. What should the nurse do while preparing the client for this procedure?

A. Keep him NPO for eight hours B. Prepare him to go to the operating room C. Explain the procedure to him D. Administer anticholinergic and analgesic as ordered

Correct Answer: C

Rationale: Explaining the procedure reduces anxiety and ensures the client understands what to expect during thoracentesis.

NCLEX Questions Respiratory | Nurselytic

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