NCLEX-PN
NCLEX Questions Respiratory Questions
Extract:
Question 1 of 5
The unlicensed assistive personnel (UAP) assists the client with a chest tube to ambulate to the bathroom. Which situation warrants immediate intervention from the nurse?
Correct Answer: B
Rationale: Suction during ambulation (
B) restricts mobility and risks dislodgement, requiring intervention. Below chest level (
A), ambulation (
C), and commode (
D) are appropriate.
Question 2 of 5
A patient is taking Streptomycin. Which finding below requires the nurse to notify the physician?
Correct Answer: C
Rationale: Streptomycin can cause ototoxicity, leading to symptoms like ringing in the ears (tinnitus). This requires immediate physician notification to prevent further hearing damage.
Question 3 of 5
Based on the client's clinical presentation, which drug should the nurse anticipate will be administered intravenously?
Correct Answer: A
Rationale: Heparin is the standard anticoagulant used to prevent further clot formation in pulmonary embolism.
Question 4 of 5
The client who smokes two (2) packs of cigarettes a day develops ARDS after a near-drowning. The client asks the nurse, 'What is happening to me? Why did I get this?' Which statement by the nurse is most appropriate?
Correct Answer: C
Rationale: Fluid-filled lungs (
C) explain ARDS simply, addressing breathing issues. Drowning link (
A), permeability (
B), and smoking (
D) are less accurate or overly technical.
Question 5 of 5
The client is admitted with a diagnosis of rule-out severe acute respiratory syndrome (SARS). Which information is most important for the nurse to ask related to this diagnosis?
Correct Answer: D
Rationale: SARS is associated with outbreaks in specific regions, notably China, Hong Kong, and Taiwan. Recent travel to these areas (
D) is critical for assessing exposure risk. Medications (
A), immunizations (
B), and blood products (
C) are less relevant to SARS diagnosis, which relies on travel history and symptoms.