NCLEX-PN
NCLEX Questions Respiratory Questions
Extract:
Question 1 of 5
The client is diagnosed with bronchiolitis obliterans. Which data indicate the glucocorticoid therapy is effective?
Correct Answer: B
Rationale: Decreased sputum production (
B) indicates reduced airway inflammation in bronchiolitis obliterans, suggesting effective glucocorticoid therapy. Elevated glucose (
A) is a side effect, not efficacy. Increased temperature (
C) or restlessness (
D) suggests worsening or side effects, not improvement.
Question 2 of 5
Which statement made by the client indicates the nurse's discharge teaching is effective for the client diagnosed with COPD?
Correct Answer: A
Rationale: Annual flu vaccines (
A) reduce COPD exacerbation risk, even in shortages. Pneumonia vaccines (
B) are not yearly, smoking reduction (
C) is insufficient, and fluid restriction (
D) is incorrect.
Question 3 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 4 of 5
An adult with tuberculosis has started taking rifampin (Rimactane). Which side effect is the client most likely to experience when taking this drug?
Correct Answer: A
Rationale: Rifampin commonly causes a harmless reddish-orange discoloration of body fluids.
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.