NCLEX-PN
NCLEX Respiratory Questions Questions
Extract:
Question 1 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.
Question 2 of 5
The client diagnosed with a community-acquired pneumonia is being admitted to the medical unit. Which nursing intervention has the highest priority?
Correct Answer: C
Rationale: Obtaining sputum culture (
C) before antibiotics ensures accurate pathogen identification, a priority. Antibiotics (
A) follow, meals (
B) and weight (
D) are less urgent.
Question 3 of 5
The nurse is feeding a client diagnosed with aspiration pneumonia who becomes dyspneic, begins to cough, and is turning blue. Which nursing intervention should the nurse implement first?
Correct Answer: B
Rationale: Dyspnea, coughing, and cyanosis suggest aspiration; turning to the side (
B) clears the airway, preventing further aspiration. Suctioning (
A), Trendelenburg (
C), and notification (
D) follow.
Question 4 of 5
The client is admitted to a medical unit with a diagnosis of pneumonia. Which signs and symptoms should the nurse assess in the client?
Correct Answer: A
Rationale: Pneumonia causes pleuritic chest pain and anxiety (
A) from inflammation/hypoxia. Asymmetry (
B) suggests pneumothorax, leukopenia (
C) is atypical, and substernal pain (
D) suggests MI.
Question 5 of 5
The nurse is caring for the client diagnosed with COPD. Which outcome requires a revision in the plan of care?
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.