The nurse and a licensed practical nurse LPN are c

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Question 1 of 5

The nurse and a licensed practical nurse (LPN) are caring for five (5) clients on a medical unit. Which clients would the nurse assign to the LPN? Select all that apply.

A. The 32-year-old female diagnosed with exercise-induced asthma who has a forced vital capacity of 1,000 mL. B. The 45-year-old male with adult-onset asthma who is complaining of difficulty completing all of the ADLs at one time. C. The 92-year-old client diagnosed with respiratory difficulty who is beginning to be confused and keeps climbing out of bed. D. The 6-year-old client diagnosed with intrinsic asthma who is scheduled for discharge and the mother needs teaching about the medications. E. The 20-year-old client diagnosed with asthma who has a pulse oximetry reading of 95% and wants to sleep all the time.

Correct Answer: B,E

Rationale: Stable asthma clients with ADL difficulty (
B) and normal SpO2 (E) are suitable for LPN care. Low FVC (
A), confusion (
C), and discharge teaching (
D) require RN assessment.

Question 2 of 5

The nurse is discussing the care of a child diagnosed with asthma with the parent. Which referral is important to include in the teaching?

A. Referral to a dietitian. B. Referral for allergy testing. C. Referral to the developmental psychologist. D. Referral to a home health nurse.

Correct Answer: B

Rationale: Allergy testing (
B) identifies asthma triggers, critical for management. Dietitian (
A), psychologist (
C), and home health (
D) are secondary unless specific issues arise.

Question 3 of 5

The nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. Which information provided by the UAP warrants immediate intervention by the nurse?

A. The client diagnosed with cancer of the lung has a small amount of blood in the sputum collection cup. B. The client diagnosed with chronic emphysema is sitting on the side of the bed and leaning over the bedside table. C. The client receiving Procrit, a biologic response modifier, has a T 99.2°F, P 68, R 24, and BP of 198/102. D. The client receiving prednisone, a steroid, is complaining of an upset stomach after eating breakfast.

Correct Answer: C

Rationale: Hypertension (198/102) with Procrit (
C) suggests a serious side effect, requiring immediate intervention. Hemoptysis (
A), tripod position (
B), and stomach upset (
D) are expected or less urgent.

Question 4 of 5

The client diagnosed with lung cancer is being discharged. Which statement made by the client indicates more teaching is required?

A. It doesn't matter if I smoke now. I already have cancer. B. I should see the oncologist at my scheduled appointment. C. If I begin to run a fever, I should notify the HCP. D. I should plan for periods of rest throughout the day.

Correct Answer: A

Rationale: Continued smoking (
A) worsens lung cancer outcomes, indicating a need for teaching. Follow-ups (
B), fever reporting (
C), and rest (
D) are correct.

Question 5 of 5

The client diagnosed with oat cell carcinoma of the lung tells the nurse, 'I am so tired of all this. I might as well just end it all.' Which statement should be the nurse's first response?

A. Say, 'This must be hard for you. Would you like to talk?' B. Tell the HCP of the client's statement. C. Refer the client to a social worker or spiritual advisor. D. Find out if the client has a plan to carry out suicide.

Correct Answer: A

Rationale: Acknowledging feelings and offering to talk (
A) opens communication for suicidal ideation. Notifying HCP (
B), referring (
C), and assessing plans (
D) follow.

Nurselytic

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NCLEX Questions Respiratory Questions

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