NCLEX-PN
NCLEX Questions Respiratory Questions
Extract:
Question 1 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.
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 2 of 5
Which question is most important for the nurse to ask the client at this time?
Correct Answer: B
Rationale: Asking if the client has taken all medications as prescribed assesses adherence, which is critical for tuberculosis treatment efficacy.
Question 3 of 5
A 52-year old female patient is receiving medical treatment for a possible tuberculosis infection. The patient is a U.S. resident but grew up in a foreign country. She reports that as a child she received the BCG vaccine (bacille Calmette-Guerin vaccine). Which physician's order below would require the nurse to ask the doctor for an order clarification?
Correct Answer: A
Rationale: The BCG vaccine can cause false-positive PPD (Mantoux) test results, making it unreliable in patients with a BCG history. The nurse should clarify this order, as an IGRA test (e.g., QuantiFERON-TB Gold) or other diagnostics are preferred.
Question 4 of 5
Which agents should the nurse suspect as being the cause of the victims' symptoms? Select all that apply.
Correct Answer: B, E
Rationale: Sarin gas and cyanide are chemical agents that can cause rapid onset of dyspnea, weakness, and nausea, consistent with the symptoms described.
Question 5 of 5
To evaluate the significance of the client's bleeding, which additional assessment is most important for the nurse to make at this time?
Correct Answer: D
Rationale: Measuring chest expansion helps assess for complications like pneumothorax, which could cause bleeding post-bronchoscopy.