Respiratory NCLEX Questions

Extract:

Question 1 of 5

The day shift charge nurse on a medical unit is making rounds after report. Which client should be seen first?

Correct Answer: D

Rationale: SpO2 89% (
D) indicates significant hypoxia, requiring immediate assessment. TB sputum (
A), clogged tube (
B), and SpO2 92% (
C) are less urgent.

Question 2 of 5

The day shift charge nurse on a medical unit is making rounds after report. Which client should be seen first?

A. The 65-year-old client diagnosed with tuberculosis who has a sputum specimen to be sent to the laboratory. B. The 76-year-old client diagnosed with aspiration pneumonia who has a clogged feeding tube. C. The 45-year-old client diagnosed with pneumonia who has a pulse oximetry reading of 92%. D. The 39-year-old client diagnosed with bronchitis who has an arterial oxygenation level of 89%.

Correct Answer: D

Rationale: SpO2 89% (
D) indicates significant hypoxia, requiring immediate assessment. TB sputum (
A), clogged tube (
B), and SpO2 92% (
C) are less urgent.

Question 3 of 5

An adult had a negative purified protein derivative (PPD) test when he was first employed two years ago. A year later, the client had a positive PPD test and a negative chest x-ray. This indicated that at that time the client:

A. was less susceptible to a tuberculosis infection than the year before. B. had acquired some degree of passive immunity to tuberculosis. C. had fought the Mycobacterium tuberculosis but had not developed active tuberculosis. D. had a mild tuberculosis infection in an organ other than the lung.

Correct Answer: C

Rationale: A positive PPD with a negative chest x-ray indicates exposure to Mycobacterium tuberculosis with an immune response but no active pulmonary disease.

Question 4 of 5

A patient has exercise-induced asthma. Which of the following actions can the patient perform to help prevent an attack during exercise. Select all that apply:

A. Avoid warming up before exercise. B. Administer a short-acting beta agonist before exercise. C. Administer a short-acting beta agonist after exercise. D. Avoid exercising when experiencing a respiratory illness.

Correct Answer: B,D

Rationale: Using a short-acting beta agonist before exercise and avoiding exercise during respiratory illness help prevent exercise-induced asthma attacks. Warming up is beneficial, and post-exercise beta agonists are not preventive.

Question 5 of 5

An adult is to have a tracheostomy performed. What is the nursing priority?

A. Shave the neck B. Establish a means of communication C. Insert a Foley catheter D. Start an IV

Correct Answer: B

Rationale: Establishing a means of communication is the priority, as the client will lose the ability to speak post-tracheostomy.

Respiratory NCLEX Questions | Nurselytic

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