NCLEX Questions Respiratory

Extract:

Question 1 of 5

The nurse is preparing to administer influenza vaccines to a group of elderly clients in a long-term care facility. Which client should the nurse question receiving the vaccine?

Correct Answer: B

Rationale: Influenza vaccines are often grown in eggs, making egg allergy (
B) a contraindication due to anaphylaxis risk. Congestive heart failure (
A), penicillin allergy (
C), and elevated vitals (
D) are not contraindications for the flu vaccine.

Question 2 of 5

The nurse and a licensed practical nurse (LPN) are caring for five (5) clients on a medical unit. Which clients would the nurse assign to the LPN? Select all that apply.

A. The 32-year-old female diagnosed with exercise-induced asthma who has a forced vital capacity of 1,000 mL. B. The 45-year-old male with adult-onset asthma who is complaining of difficulty completing all of the ADLs at one time. C. The 92-year-old client diagnosed with respiratory difficulty who is beginning to be confused and keeps climbing out of bed. D. The 6-year-old client diagnosed with intrinsic asthma who is scheduled for discharge and the mother needs teaching about the medications. E. The 20-year-old client diagnosed with asthma who has a pulse oximetry reading of 95% and wants to sleep all the time.

Correct Answer: B,E

Rationale: Stable asthma clients with ADL difficulty (
B) and normal SpO2 (E) are suitable for LPN care. Low FVC (
A), confusion (
C), and discharge teaching (
D) require RN assessment.

Question 3 of 5

The occupational nurse for a mining company is planning a class on the risks of working with toxic substances to comply with the 'Right to Know' law. Which information should the nurse include in the presentation? Select all that apply.

A. A client who smokes cigarettes has a drastically increased risk for lung cancer. B. Floors need to be clean and dust needs to be wet to prevent transfer of dust. C. The air needs to be monitored at specific times to evaluate for exposure. D. Surface areas need to be painted every year to prevent the accumulation of dust. E. Employees should wear the appropriate personal protective equipment.

Correct Answer: A,B,C

Rationale: Smoking increases lung cancer risk (1), relevant to toxic exposures. Wet dust control (2) reduces airborne particles. Air monitoring (3) ensures safe exposure levels. PPE (5) is critical for protection. Annual painting (4) is not a standard dust control measure.

Question 4 of 5

The ABG analysis results reveal that the client's partial pressure of arterial carbon dioxide (PaCO2) is 65 mm Hg. The nurse recognizes that this is abnormal because normal PaCO2 levels fall between which values?

A. 7.35 and 7.45 B. 80 and 100 mm Hg C. 35 and 45 mm Hg D. 22 and 26 mm Hg

Correct Answer: C

Rationale: Normal PaCO2 levels are 35 to 45 mm Hg; a value of 65 mm Hg indicates hypercapnia, common in COPD.

Question 5 of 5

An adult has a chest drainage system. Several hours after the chest tube was inserted, the nurse observes that there is no bubbling in the water seal chamber. What is the most likely reason for the absence of bubbling?

A. The client's lungs have reexpanded. B. There is an obstruction in the tubing coming from the client. C. There is a mechanical problem in the pump. D. Air is leaking into the drainage apparatus.

Correct Answer: A

Rationale: No bubbling in the water seal chamber typically indicates lung reexpansion, as air is no longer leaking from the lung into the pleural space.

NCLEX Questions Respiratory | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN