NCLEX Questions Respiratory

Extract:

Question 1 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 2 of 5

Your patient, who is receiving Pyrazinamide, report stiffness and extreme pain in the right big toe. The site is extremely red, swollen, and warm. You notify the physician and as the nurse you anticipated the doctor will order?

A. Calcium level B. Vitamin B6 level C. Uric acid level D. Amylase level

Correct Answer: C

Rationale: Pyrazinamide can cause hyperuricemia, leading to gout symptoms (pain, redness, swelling in joints like the big toe). The physician will likely order a uric acid level to confirm this side effect.

Question 3 of 5

The client diagnosed with oat cell carcinoma of the lung tells the nurse, 'I am so tired of all this. I might as well just end it all.' Which statement should be the nurse's first response?

A. Say, 'This must be hard for you. Would you like to talk?' B. Tell the HCP of the client's statement. C. Refer the client to a social worker or spiritual advisor. D. Find out if the client has a plan to carry out suicide.

Correct Answer: A

Rationale: Acknowledging feelings and offering to talk (
A) opens communication for suicidal ideation. Notifying HCP (
B), referring (
C), and assessing plans (
D) follow.

Question 4 of 5

Because of this client's impaired speech, which nursing action facilitates communication?

A. Discourage the client's attempts at communication. B. Inform the client to speak slowly when talking. C. Listen attentively to the client's vocalizations. D. Provide the client with paper and pencil.

Correct Answer: D

Rationale: Providing paper and pencil allows the client with impaired speech post-laryngectomy to communicate effectively through writing.

Question 5 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?

A. The client diagnosed with congestive heart failure. B. The client with a documented allergy to eggs. C. The client who has had an anaphylactic reaction to penicillin. D. The client who has an elevated blood pressure and pulse.

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.

NCLEX Questions Respiratory | Nurselytic

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