NCLEX-PN
Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
The HCP has recommended a total laryngectomy for a male client diagnosed with cancer of the larynx but the client refuses. Which intervention by the nurse illustrates the ethical principle of nonmalfeasance?
Correct Answer: A
Rationale: Listening to the client’s reasons (
A) respects autonomy and avoids harm (nonmalfeasance). Insisting (
B), counseling (
C), and survivor talks (
D) may pressure or influence unduly.
Question 2 of 5
Which arterial blood gas (ABG) results support the diagnosis of acute respiratory distress syndrome (ARDS) after the client has received O2 at 10 LPM?
Correct Answer: C
Rationale: ARDS is characterized by severe hypoxemia despite high oxygen delivery. Pao2 59 (
C) despite 10 LPM oxygen indicates refractory hypoxia, a hallmark of ARDS. Normal Pao2 (94 in A and
D) contradicts ARDS. Pao2 82 (
B) is low but not as severe as 59, making C the best indicator of ARDS.
Question 3 of 5
Which response by the nurse is most appropriate at this time?
Correct Answer: B
Rationale: Staying with the client provides emotional support and ensures prompt intervention during a suspected pulmonary embolism.
Question 4 of 5
A 48-year old homeless man, who is living in a local homeless shelter and is an IV drug user, has arrived to the clinic to have his PPD skin test assessed. What is considered a positive result?
Correct Answer: D
Rationale: 15 mm induration is positive in ALL people regardless of health history or risk factors. However, for patients who are homeless (living in homeless shelter) and are IV drug users, a 10 mm or more is considered positive.
Question 5 of 5
A patient received a nebulizer of Albuterol. What is a side effect of this medication?
Correct Answer: B
Rationale: Albuterol, a beta-agonist, commonly causes tachycardia as a side effect due to its stimulatory effects.