NCLEX-PN
Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client on a ventilator and the alarm goes off. Which action should the nurse implement first?
Correct Answer: B
Rationale: Checking the ventilator (
B) is the first action to identify the alarm’s cause (e.g., disconnection, obstruction), per the ABCs. Notifying the therapist (
A) delays intervention. Elevating the bed (
C) is irrelevant. Assessing oxygen saturation (
D) is secondary to addressing the ventilator issue.
Question 2 of 5
A 52-year old female patient is receiving medical treatment for a possible tuberculosis infection. The patient is a U.S. resident but grew-up in a foreign country. She reports that as a child she received the BCG vaccine (bacille Calmette-Guerin vaccine). Which physician's order below would require the nurse to ask the doctor for an order clarification?
Correct Answer: A
Rationale: Patients who have received the BCG vaccine will have a false positive on a PPD (Mantoux test), which is the tuberculin skin test. The BCG vaccine is a vaccine to prevent TB. It is given in foreign countries to children to prevent TB.
Therefore, the person has already been exposed to the bacteria via vaccine and will have a false positive. A QuantiFERON-TB Gold test is a better option for this patient. It is a blood test.
Question 3 of 5
To prevent the client with a head cold from developing a secondary ear infection, which recommendation is most appropriate?
Correct Answer: B
Rationale: Blowing the nose gently prevents excessive pressure in the Eustachian tubes, which can lead to fluid buildup and secondary ear infections.
Question 4 of 5
Aside from the characteristics of the client's cough, which other pertinent assessment finding should the nurse document?
Correct Answer: C
Rationale: The appearance of respiratory secretions (color, consistency) provides critical information about the infection's severity and type.
Question 5 of 5
The nurse is taking the social history from a client diagnosed with small cell carcinoma of the lung. Which information is significant for this disease?
Correct Answer: D
Rationale: Smoking (
D) (40 pack-years) is the primary risk factor for small cell lung cancer. Asbestos (
A) is a risk but less significant, family history (
B) is irrelevant, and tattoos (
C) are unrelated.