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NCLEX Questions Respiratory Questions

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Question 1 of 5

The nurse is discussing the results of a tuberculosis skin test. Which explanation should the nurse provide the client?

Correct Answer: C

Rationale: A positive TB skin test (
C) indicates exposure to TB bacilli, not active disease, requiring further testing (e.g., chest X-ray). Redness alone (
A) is not diagnostic; induration is measured. The skin test (
B) is not definitive for diagnosis. Annual testing (
D) may be needed in high-risk groups.

Question 2 of 5

A thoracentesis was performed on an adult client. After the procedure, the client has hemoptysis and a pulse of 80, respirations of 28, and temperature of 99°F. Which of these is of greatest concern to the nurse?

Correct Answer: A

Rationale: Hemoptysis is the only abnormal finding and indicates potential bleeding or lung injury, which is of greatest concern post-thoracentesis. The other vital signs are within normal ranges for someone who has undergone an invasive procedure.

Question 3 of 5

The post-anesthesia care nurse is caring for the client diagnosed with lung cancer who had a thoracotomy and is experiencing frequent premature ventricular contractions (PVCs). Which intervention should the nurse implement first?

Correct Answer: C

Rationale: Frequent PVCs post-thoracotomy may stem from hypoxia, electrolyte imbalances, or pain. Assessing for causes (
C) is the first step to identify and address the underlying issue. ABGs (
A) or ECG (
D) may follow based on findings. Lidocaine (
B) is premature without identifying the cause.

Question 4 of 5

You are providing care to a patient with COPD who is receiving medical treatment for exacerbation. The patient has a history of diabetes, hypertension, and hyperlipidemia. The patient is experiencing extreme hyperglycemia and bruising. Which medication ordered for this patient can cause hyperglycemia and bruising?

Correct Answer: A

Rationale: Prednisone , a corticosteroid, commonly causes hyperglycemia and easy bruising as side effects. Atrovent , Flagyl , and Levaquin are not typically associated with these effects.

Question 5 of 5

The nurse is discussing the results of a tuberculosis skin test. Which explanation should the nurse provide the client?

Correct Answer: C

Rationale: A positive TB skin test (
C) indicates exposure to TB bacilli, not active disease, requiring further testing (e.g., chest X-ray). Redness alone (
A) is not diagnostic; induration is measured. The skin test (
B) is not definitive for diagnosis. Annual testing (
D) may be needed in high-risk groups.

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The client diagnosed with chronic obstructive pulmonary disease (COPD) is admitted to the medical unit. The client has thin extremities, truncal obesity, and multiple ecchymotic areas on the arms. Based on the assessment data, which question should the nurse ask the client?
The nurse is preparing the plan of care for the client who had a pleurodesis. Which collaborative intervention should the nurse include?

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