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Adult Health II Respiratory NCLEX Questions Questions

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Question 1 of 5

The nurse has established a goal with a client to improve mobility following hip replacement. Which of the following is a realistic outcome at the time of discharge from the surgical unit?

Correct Answer: C

Rationale: Increased independence in transfers is a realistic and measurable goal for discharge.

Question 2 of 5

The client tells the nurse that he is allergic to shellfish. The nurse should ask the client if he is also allergic to:

Correct Answer: B

Rationale: Shellfish allergies are often associated with iodine sensitivity, as shellfish contain iodine. Iodine-based skin preparations used in surgery could trigger an allergic reaction, so this must be assessed. Other options are unrelated to shellfish allergies.

Question 3 of 5

The nurse notes that the sterile, occlusive dressing on the central catheter insertion site of a client receiving total parenteral nutrition (TPN) is moist. The client is breathing easily with no abnormal breath sounds. The nurse should do the following in order of what priority from first to last?

Order the Items

Source Container

Change dressing per institutional policy.
Culture drainage at insertion site.
Notify physician.
Position rolled towel under client's back, parallel to the spine.

Correct Answer: C,B,A,D

Rationale: The priority is to notify the physician (
C) due to potential infection indicated by a moist dressing, followed by culturing drainage (
B) to identify the organism, changing the dressing (
A) to maintain sterility, and positioning a towel (
D), which is unrelated to the immediate issue. CN: Pharmacological and parenteral therapies; CL: Synthesize

Question 4 of 5

College freshman are participating in a study abroad program. When teaching them about hepatitis B, the nurse should instruct the students on:

Correct Answer: D

Rationale: Hepatitis B is transmitted through blood and body fluids, so safe sexual practices (
D) are critical for prevention. Water sanitation (
A) is relevant for hepatitis A, single rooms (
B) are unnecessary, and while vaccination (
C) is important, the question focuses on behavioral instruction.

Question 5 of 5

The client is ready for discharge after surgery for a deviated septum. Which of the following discharge instructions would be appropriate?

Correct Answer: A

Rationale: Avoiding Valsalva's maneuver (e.g., straining, heavy lifting) prevents increased pressure that could cause bleeding or disrupt the surgical site.

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