NCLEX-PN
NCLEX Respiratory Questions Questions
Extract:
Question 1 of 5
The male client has had a radial neck dissection for cancer of the larynx. Which action by the client indicates a disturbance in body image?
Correct Answer: B
Rationale: Placing a towel over the mirror (choice 2) suggests the client is avoiding looking at their altered appearance due to the radical neck dissection, indicating a disturbance in body image. This surgery often results in visible changes, such as scarring or a tracheostomy, which can impact self-perception. Requesting a speech therapist (choice 1) focuses on communication, attempting to shave (choice 3) shows engagement in self-care, and practicing exercises (choice 4) indicates recovery efforts, none of which directly reflect body image issues.
Question 2 of 5
Which data are significant when assessing a client diagnosed with rule-out Legionnaires' disease?
Correct Answer: B
Rationale: Symptoms like aching muscles, high fever, malaise, and coughing (
B) are characteristic of Legionnaires' disease, a severe pneumonia. Smoking history (
A) is non-specific. Exposure to Legionella (
C) is a risk factor, not a clinical datum. Decreased lung sounds (
D) are less specific than systemic symptoms.
Question 3 of 5
Your patient with a diagnosis of latent tuberculosis infection needs a bronchoscopy. During transport to endoscopy, the patient will need to wear?
Correct Answer: B
Rationale: Patients with latent tuberculosis are not contagious and have no symptoms, but during procedures like bronchoscopy that may generate aerosols, a surgical mask is worn to prevent potential spread if the infection is active.
Question 4 of 5
Which problem is appropriate for the nurse to identify for the client who is one (1) day postoperative thoracotomy?
Correct Answer: A
Rationale: Pain (alteration in comfort,
A) is a common issue post-thoracotomy due to surgical incision and chest tube placement, making it the most appropriate nursing diagnosis on day one. Altered consciousness (
B) is not typical unless complications arise. Elimination issues (
C) are less immediate. Knowledge deficit (
D) is relevant later for discharge teaching.
Question 5 of 5
The nurse is caring for a client diagnosed with a cold. Which is an example of an alternative therapy?
Correct Answer: A
Rationale: Vitamin C (
A) is an alternative therapy for colds, with unproven efficacy. Bedrest (
B), humidification (
C), and decongestants (
D) are standard supportive measures.