Respiratory NCLEX Questions

Extract:

Question 1 of 5

The nurse is caring for the client diagnosed with ARDS. Which interventions should the nurse implement? Select all that apply.

Correct Answer: A,C,D,E

Rationale: LOC assessment (
A), turning (
C), IV fluids (
D), and Fowler’s position (E) support ARDS care. Urine output (
B) should be monitored hourly, not per shift.

Question 2 of 5

A patient has a positive PPD skin test that shows an 8 mm induration. As the nurse you know that:

A. The patient will need to immediately be placed in droplet precautions and started on a medication regime. B. The patient will need a chest x-ray and sputum culture to confirm the test results before treatment is provided. C. The patient will need an IGRA test to help differentiate between a latent tuberculosis infection versus an active tuberculosis infection. D. The patient will need to repeat the skin test in 48-72 hours to confirm the results.

Correct Answer: B

Rationale: A positive PPD test (8 mm induration) indicates TB exposure but does not confirm active disease. A chest X-ray and sputum culture are needed to differentiate latent from active TB before treatment or precautions are initiated.

Question 3 of 5

After administering the first puff of medication, what client action demonstrates proper use of the inhaler?

A. The client depresses the canister a second time before exhaling. B. The client holds his or her breath for up to 10 seconds before exhaling. C. The client cleans the mouthpiece with a clean paper tissue or cloth. D. The client bends from the waist to increase the exhaled volume.

Correct Answer: B

Rationale: Holding the breath for up to 10 seconds after inhaling allows the medication to deposit in the lungs effectively.

Question 4 of 5

If the client identifies that lunches often include the following foods, which meal is the most nutritious?

A. Tossed salad, rice, and iced tea B. Apple sandwich on whole wheat bread and coffee C. Meatless chili with beans, corn bread, and milk D. Chicken soup, gelatin, and sweetened lemonade

Correct Answer: C

Rationale: Meatless chili with beans, corn bread, and milk provides protein, carbohydrates, and calcium, making it the most balanced and nutritious option.

Question 5 of 5

Which of the following are typical signs and symptoms of pneumonia? Select-all-that-apply:

A. Stridor B. Coarse crackles C. Oxygen saturation less than $90 \%$ D. Non-productive, nagging cough E. Elevated white blood cells F. Low PCO2 of less than 35 G. Tachypnea

Correct Answer: B,C,E,G

Rationale: Pneumonia typically presents with coarse crackles due to fluid in alveoli, low oxygen saturation from impaired gas exchange, elevated WBCs indicating infection, and tachypnea (G) as a compensatory mechanism. Stridor is associated with upper airway obstruction, non-productive cough is less common, and low PCO2 suggests hyperventilation, not typical.

Respiratory NCLEX Questions | Nurselytic

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