NCLEX-PN
Respiratory System NCLEX Questions Questions
Extract:
Question 1 of 5
The employee health nurse is administering tuberculin skin testing to employees who have possibly been exposed to a client with active tuberculosis (Tb). Which statement indicates the need for radiological evaluation instead of skin testing?
Correct Answer: C
Rationale: A prior positive TB skin test (
C) indicates exposure, requiring CXR to assess active disease, not repeat skin testing. Purple area (
A) is normal, 4 mm (
B) is negative, and no reaction (
D) warrants testing.
Question 2 of 5
When a previously negative client has a positive reaction to a tuberculin skin test, which information about follow-up is most correct?
Correct Answer: D
Rationale: A positive tuberculin test requires further evaluation (e.g., chest X-ray), and antituberculosis drugs may be prescribed for latent or active infection.
Question 3 of 5
A patient has a PPD skin test (Mantoux test). As the nurse you tell the patient to report back to the office in so the results can be interpreted?
Correct Answer: C
Rationale: The PPD skin test (Mantoux) is read 48-72 hours after administration to assess for induration, as this is the standard timeframe for an accurate immune response to be visible.
Question 4 of 5
If the client has sinusitis in the maxillary sinuses, where will the client most likely report feeling pain?
Correct Answer: B
Rationale: The maxillary sinuses are located in the cheek area, so pain from maxillary sinusitis is typically felt in the cheeks.
Question 5 of 5
You assist your patient with using their inhaler. The inhaler contains the medication Budesonide. Before administering the inhaler, you will want to connect what device to the inhaler to help decrease the patient from developing?
Correct Answer: C
Rationale: A spacer helps deliver Budesonide, an inhaled corticosteroid, more effectively to the lungs, reducing the risk of oral thrush by minimizing medication deposition in the mouth.