NCLEX-PN
Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
The client is four (4) hours post-lobectomy for cancer of the lung. Which assessment data warrant immediate intervention by the nurse?
Correct Answer: B
Rationale: 450 mL bright-red drainage (
B) suggests hemorrhage, requiring immediate action. Fluid balance (
A), severe pain (
C), and absent lung sounds (
D) are expected or less urgent.
Question 2 of 5
After administering the first puff of medication, what client action demonstrates proper use of the inhaler?
Correct Answer: B
Rationale: Holding the breath for up to 10 seconds after inhaling allows the medication to deposit in the lungs effectively.
Question 3 of 5
While withdrawing the suction catheter from a client's tracheostomy tube, which nursing technique is correct?
Correct Answer: A
Rationale: Removing the catheter slowly while applying intermittent suction ensures effective secretion removal without causing trauma.
Question 4 of 5
The nurse is caring for a woman who is admitted with pneumonia. On admission, the client is anxious and short of breath but able to respond to questions. One hour later, the client becomes more dyspneic and less responsive, answering only yes and no questions. What is the best action for the nurse to take at this time?
Correct Answer: D
Rationale: A change in mental status with worsening dyspnea indicates potential deterioration, requiring immediate notification of the charge nurse.
Question 5 of 5
A 52-year old female patient is receiving medical treatment for a possible tuberculosis infection. The patient is a U.S. resident but grew-up in a foreign country. She reports that as a child she received the BCG vaccine (bacille Calmette-Guerin vaccine). Which physician's order below would require the nurse to ask the doctor for an order clarification?
Correct Answer: A
Rationale: Patients who have received the BCG vaccine will have a false positive on a PPD (Mantoux test), which is the tuberculin skin test. The BCG vaccine is a vaccine to prevent TB. It is given in foreign countries to children to prevent TB.
Therefore, the person has already been exposed to the bacteria via vaccine and will have a false positive. A QuantiFERON-TB Gold test is a better option for this patient. It is a blood test.