Respiratory NCLEX Questions

Extract:

Question 1 of 5

The nurse is assessing the client with COPD. Which health promotion information is most important for the nurse to obtain?

Correct Answer: C

Rationale: Correct inhaler use (
C) ensures effective COPD management, a priority for health promotion. Smoking history (
A), risk factors (
B), and lifestyle (
D) are important but secondary.

Question 2 of 5

What is the significance of a positive tuberculin skin test?

A. The client has an active infection. B. Antibodies are present in the client's blood. C. The client is immune to this type of disease. D. The client needs to be in strict isolation.

Correct Answer: B

Rationale: A positive tuberculin skin test indicates the presence of antibodies to tuberculosis, suggesting exposure or latent infection, not necessarily active disease.

Question 3 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?

A. The nurse listens to the client explain why he is refusing surgery. B. The nurse and significant other insist that the client have the surgery. C. The nurse refers the client to a counselor for help with the decision. D. The nurse asks a cancer survivor to come and discuss the surgery with the client.

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 4 of 5

The client experiencing a severe allergic reaction becomes pulseless. The nurse shakes the client, shouts the client's name, and activates the emergency medical response system. Which nursing action becomes the next priority?

A. Administer a single blow to the sternum. B. Give two quick breaths that make the chest visibly rise. C. Begin chest compressions at a rate of 100 per minute. D. Administer an epinephrine (Adrenalin) injection.

Correct Answer: C

Rationale: For a pulseless client, starting chest compressions immediately after activating the emergency response is the priority to restore circulation, per CPR guidelines.

Question 5 of 5

You're developing a plan of care for a patient who is at risk for the development of a deep vein thrombosis after surgery. What nursing intervention below would the nurse NOT include in the patient's plan of care to prevent DVT formation?

A. The patient will eat all meals out of the bed daily by sitting in the bedside chair. B. The nurse will apply sequential compression devices (SCDs) per physician's order to the patient's lower extremities every night at bedtime. C. The nurse will administer per physician's order Enoxaparin in the subcutaneous tissue of the abdomen. D. The patient will ambulate daily.

Correct Answer: B

Rationale: Yes, the nurse would apply SCDs per MD order to help prevent DVTs, BUT they are to be applied and worn by the patient anytime they are in bed or sitting. The only time a patient should not wear the SCDs is when they're ambulating.
Therefore, the nurse would NOT just apply them at bedtime but during the day too.

Respiratory NCLEX Questions | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN