NCLEX-PN
NCLEX Questions Respiratory Questions
Extract:
Question 1 of 5
The nurse is writing a care plan for a client newly diagnosed with cancer of the larynx. Which problem is the highest priority?
Correct Answer: C
Rationale: Respiratory distress (
C) is life-threatening post-laryngectomy, a priority. Infection (
A), hemorrhage (
B), and knowledge deficit (
D) are secondary.
Question 2 of 5
You are assessing your newly admitted patients who are all presenting with atypical signs and symptoms of a possible lung infection. The physician suspects tuberculosis. So, therefore, the patients are being monitored and tested for the disease. Select all the risk factors below that increases a patient's risk for developing tuberculosis:
Correct Answer: C,D,E,F
Rationale: Remember from our lecture we discussed the risk factors for developing TB and to remember them I said remember the mnemonic "TB Risk". It stands for tight living quarters (LTC resident, prison, homeless shelter etc.), below or at the poverty line (homeless), refugee (especially in high risk countries), immune system issue such as HIV, substance abusers (IV drugs or alcohol), Kids less than the age of 5....all these are risk factors.
Question 3 of 5
Before recommending the use of a nonprescription decongestant to a client with a cold, which aspect of the medical history should be assessed? Select all that apply.
Correct Answer: C, E, F
Rationale: Decongestants can exacerbate hypertension, glaucoma, and arrhythmias due to their vasoconstrictive effects. Asthma is also a concern as decongestants may worsen respiratory symptoms in some cases.
Question 4 of 5
The client is diagnosed with bronchiolitis obliterans. Which data indicate the glucocorticoid therapy is effective?
Correct Answer: B
Rationale: Decreased sputum production (
B) indicates reduced airway inflammation in bronchiolitis obliterans, suggesting effective glucocorticoid therapy. Elevated glucose (
A) is a side effect, not efficacy. Increased temperature (
C) or restlessness (
D) suggests worsening or side effects, not improvement.
Question 5 of 5
The nurse is discussing the care of a child diagnosed with asthma with the parent. Which referral is important to include in the teaching?
Correct Answer: B
Rationale: Allergy testing (
B) identifies asthma triggers, critical for management. Dietitian (
A), psychologist (
C), and home health (
D) are secondary unless specific issues arise.