NCLEX Respiratory Questions

Extract:

Question 1 of 5

The nurse instructs the client's spouse to empty and thoroughly clean the vaporizer after each use. Which rationale provides the basis for the nurse's instruction?

Correct Answer: B

Rationale: A cool-mist vaporizer can harbor pathogens like bacteria and mold if not cleaned properly, potentially worsening respiratory symptoms.

Question 2 of 5

The charge nurse on a surgical floor is making assignments. Which client should be assigned to the most experienced registered nurse (RN)?

A. The 36-year-old client who has undergone an antral irrigation for sinusitis yesterday and has moderate pain. B. The six-(6)-year-old client scheduled for a tonsillectomy and adenoidectomy this morning who will not swallow medication. C. The 18-year-old client who had a Caldwell-Luc procedure three (3) days ago and has purulent drainage on the drip pad. D. The 45-year-old client diagnosed with a peritonsillar abscess who requires IVPB antibiotic therapy four (4) times a day.

Correct Answer: C

Rationale: Purulent drainage post-Caldwell-Luc (
C) suggests infection, requiring experienced assessment. Antral irrigation (
A), tonsillectomy refusal (
B), and antibiotics (
D) are less complex.

Question 3 of 5

Which statement indicates the client diagnosed with asthma needs more teaching concerning the medication regimen?

A. I will take Singulair, a leukotriene, every day to prevent allergic asthma attacks. B. I need to use my Intal, cromolyn inhaler, 15 minutes before I begin my exercise. C. I need to take oral glucocorticoids every day to prevent my asthma attacks. D. If I have an asthma attack, I need to use my albuterol, a beta2 agonist, inhaler.

Correct Answer: C

Rationale: Daily oral glucocorticoids (
C) are not typically used for asthma maintenance due to significant side effects; they are reserved for severe exacerbations or specific cases. Inhaled corticosteroids or leukotriene modifiers (like Singulair,
A) are preferred for long-term control. Using cromolyn before exercise (
B) is correct to prevent exercise-induced bronchospasm. Albuterol for acute attacks (
D) is appropriate as a rescue inhaler.

Question 4 of 5

The nurse is caring for the client diagnosed with COPD. Which outcome requires a revision in the plan of care?

A. The client has no signs of respiratory distress. B. The client shows an improved respiratory pattern. C. The client demonstrates intolerance to activity. D. The client participates in establishing goals.

Correct Answer: C

Rationale: Activity intolerance (
C) indicates poor COPD control, requiring plan revision. No distress (
A), improved breathing (
B), and goal participation (
D) are positive outcomes.

Question 5 of 5

You're teaching a group of long-term care health givers about the signs and symptoms of tuberculosis. What signs and symptoms will you include in your education?

A. Cough for a minimum of 6 weeks B. Night sweats C. Weight gain D. Hemoptysis E. Chills F. Fever G. Chest pain

Correct Answer: B,D,E,F,G

Rationale: Tuberculosis symptoms include night sweats , hemoptysis , chills , fever , and chest pain (G). A cough typically lasts 3 weeks or more, not necessarily 6 weeks (not
A). Weight loss, not weight gain , is common.

NCLEX Respiratory Questions | Nurselytic

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