NCLEX-PN
Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a woman who is admitted with pneumonia. On admission, the client is anxious and short of breath but able to respond to questions. One hour later, the client becomes more dyspneic and less responsive, answering only yes and no questions. What is the best action for the nurse to take at this time?
Correct Answer: D
Rationale: A change in mental status with worsening dyspnea indicates potential deterioration, requiring immediate notification of the charge nurse.
Question 2 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.
Question 3 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 4 of 5
The nurse is preparing to administer the oral anticoagulant warfarin (Coumadin) to a client who has a PT/PTT of 22/39 and an INR of 2.8. What action should the nurse implement?
Correct Answer: C
Rationale: INR 2.8 (
C) is therapeutic for PE (2–3), so administer warfarin. Bleeding assessment (
A) is routine, vitamin K (
B) reverses overdose, and increasing dose (
D) is unnecessary.
Question 5 of 5
Which question is essential for the nurse to ask before administering the influenza vaccine?
Correct Answer: C
Rationale: Influenza vaccines are often produced using eggs, so an egg allergy must be assessed to prevent allergic reactions.