NCLEX-PN
Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
What is the significance of a positive tuberculin skin test?
Correct Answer: B
Rationale: A positive tuberculin skin test indicates the presence of antibodies to tuberculosis, suggesting exposure or latent infection, not necessarily active disease.
Question 2 of 5
The 56-year-old client diagnosed with tuberculosis (Tb) is being discharged. Which statement made by the client indicates an understanding of the discharge instructions?
Correct Answer: B
Rationale: TB treatment requires months of antibiotics (
B) for cure. Three weeks (
A) is too short, antibiotics don’t eliminate transmission risk immediately (
C), and skin tests (
D) monitor exposure, not cure.
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
The nurse observes the client sitting on the side of the bed with the arms propped on the over-bed table. The chest is barrel shaped and the client is breathing though lips spaced close together and is exhaling slowly. Which concept is priority for this client?
Correct Answer: D
Rationale: Tripod position, barrel chest, and pursed-lip breathing (
D) indicate COPD with oxygenation as the priority. Mobility (
A), nutrition (
B), and activity (
C) are secondary.
Question 5 of 5
Which of the following are typical signs and symptoms of pneumonia? Select-all-that-apply:
Correct Answer: B,C,E,G
Rationale: Pneumonia typically presents with coarse crackles due to fluid in alveoli, low oxygen saturation from impaired gas exchange, elevated WBCs indicating infection, and tachypnea (G) as a compensatory mechanism. Stridor is associated with upper airway obstruction, non-productive cough is less common, and low PCO2 suggests hyperventilation, not typical.