NCLEX-PN
NCLEX Respiratory Questions Questions
Extract:
Question 1 of 5
The client diagnosed with tuberculosis has been treated with antitubercular medications for six (6) weeks. Which data would indicate the medications have been effective?
Correct Answer: B
Rationale: Improved symptoms (
B) after six weeks of TB treatment (e.g., reduced cough, fever) indicate medication efficacy. WBCs in sputum (
A) are not a standard measure. Chest X-ray changes (
C) lag behind clinical improvement. The skin test (
D) remains positive post-exposure, regardless of treatment.
Question 2 of 5
Until the client can be examined later that morning, which advice by the nurse would be most helpful?
Correct Answer: B
Rationale: Resting the voice reduces strain on the vocal cords, which is beneficial for laryngitis and helps prevent further irritation.
Question 3 of 5
Which nursing observation provides the best evidence that postural drainage is effective?
Correct Answer: D
Rationale: Raising a large volume of sputum indicates that postural drainage is effectively clearing secretions from the airways.
Question 4 of 5
A 79-year-old client is admitted to the hospital with a diagnosis of pneumococcal pneumonia. The client has dyspnea. The client's temperature is 102°F, respirations are 36, and pulse is 92. Bed rest is ordered for this client primarily to:
Correct Answer: C
Rationale: Bed rest reduces metabolic and oxygen demands in a client with pneumonia and dyspnea, aiding recovery.
Question 5 of 5
When caring for a client with a flail chest, which nursing action is most appropriate?
Correct Answer: C
Rationale: Applying a chest binder stabilizes the flail chest, reducing paradoxical chest movement and improving ventilation.