NCLEX-PN
Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
To prevent the client with a head cold from developing a secondary ear infection, which recommendation is most appropriate?
Correct Answer: B
Rationale: Blowing the nose gently prevents excessive pressure in the Eustachian tubes, which can lead to fluid buildup and secondary ear infections.
Question 2 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: Patients who have received the BCG vaccine will have a false positive on a PPD (Mantoux test), which is the tuberculin skin test. The BCG vaccine is a vaccine to prevent TB. It is given in foreign countries to children to prevent TB.
Therefore, the person has already been exposed to the bacteria via vaccine and will have a false positive. A QuantiFERON-TB Gold test is a better option for this patient. It is a blood test.
Question 3 of 5
The client diagnosed with a pulmonary embolus is being discharged. Which intervention should the nurse discuss with the client?
Correct Answer: A
Rationale: Increased fluids (
A) prevent dehydration, reducing clotting risk in PE. Low-fat diet (
B), avoiding crowds (
C), and vaccines (
D) are less specific.
Question 4 of 5
After the client receives the weekly injection, which nursing instruction is essential?
Correct Answer: B
Rationale: Clients must wait at least 30 minutes after an allergy injection to monitor for potential allergic reactions, such as anaphylaxis.
Question 5 of 5
Which statement indicates to the nurse the client diagnosed with asthma understands the teaching regarding mast cell stabilizer medications?
Correct Answer: D
Rationale: Mast cell stabilizers (
D) prevent asthma by stabilizing mast cells, not treating acute attacks. Puffs during attack (
A), tapering (
B), and bedtime use (
C) are incorrect.