NCLEX-PN
Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
The client is suspected of having a pulmonary embolus. Which diagnostic test suggests the presence of a pulmonary embolus and requires further investigation?
Correct Answer: A
Rationale: Elevated D-dimer (
A) suggests clotting, warranting further PE investigation (e.g., CT). ABGs (
B) show hypoxia, CXR (
C) is nonspecific, and MRI (
D) is not standard.
Question 2 of 5
The home health-care nurse is talking on the telephone to a male client diagnosed with hypertension and hears the client sneezing. The client tells the nurse he has been blowing his nose frequently. Which question should the nurse ask the client?
Correct Answer: C
Rationale: Sneezing and nasal discharge suggest a URI; asking about OTC medications (
C) assesses self-treatment and potential interactions. Flu shot timing (
A) is irrelevant, children (
B) are secondary, and cold sores (
D) relate to herpes, not URI.
Question 3 of 5
The nurse is assessing the client with COPD. Which health promotion information is most important for the nurse to obtain?
Correct Answer: C
Rationale: Correct inhaler use (
C) ensures effective COPD management, a priority for health promotion. Smoking history (
A), risk factors (
B), and lifestyle (
D) are important but secondary.
Question 4 of 5
To prevent the client with a head cold from developing a secondary ear infection, which recommendation is most appropriate?
Correct Answer: B
Rationale: Blowing the nose gently prevents excessive pressure in the Eustachian tubes, which can lead to fluid buildup and secondary ear infections.
Question 5 of 5
You're providing discharge teaching to a patient who was admitted with asthma. You discussed the early warning signs of an asthma attack and ask the patient to list some of them. Select all the correct early warning signs verbalized by the patient:
Correct Answer: A,B,E,F
Rationale: Early warning signs include fatigue, reduced peak flow, wheezing with activity, and nighttime coughing. Chest retractions, cyanosis, and no relief from a bronchodilator indicate a more severe attack.