NCLEX-PN
NCLEX Questions Respiratory Questions
Extract:
Question 1 of 5
The client is admitted with a diagnosis of rule-out severe acute respiratory syndrome (SARS). Which information is most important for the nurse to ask related to this diagnosis?
Correct Answer: D
Rationale: SARS is associated with outbreaks in specific regions, notably China, Hong Kong, and Taiwan. Recent travel to these areas (
D) is critical for assessing exposure risk. Medications (
A), immunizations (
B), and blood products (
C) are less relevant to SARS diagnosis, which relies on travel history and symptoms.
Question 2 of 5
Which nursing action is most appropriate immediately after the chest tube is removed from the client?
Correct Answer: A
Rationale: Applying a sterile dressing taped securely prevents air entry into the pleural space and promotes healing post-chest tube removal.
Question 3 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 4 of 5
The nurse performs postural drainage on the client. Which nursing intervention is most beneficial to loosen secretions?
Correct Answer: B
Rationale: Striking the back with a cupped hand (percussion) helps loosen secretions during postural drainage.
Question 5 of 5
A 48-year old homeless man, who is living in a local homeless shelter and is an IV drug user, has arrived to the clinic to have his PPD skin test assessed. What is considered a positive result?
Correct Answer: A
Rationale: For high-risk individuals (e.g., homeless, IV drug users), a PPD induration of ≥5 mm is considered positive due to their increased risk of TB exposure and progression.