NCLEX-PN
NCLEX Questions Respiratory Questions
Extract:
Question 1 of 5
When the nurse obtains the nasal swab, which action is most accurate?
Correct Answer: D
Rationale: Using separate applicators for each nare prevents cross-contamination and ensures an accurate sample for MRSA screening.
Question 2 of 5
The client diagnosed with chronic obstructive pulmonary disease (COPD) is admitted to the medical unit. The client has thin extremities, truncal obesity, and multiple ecchymotic areas on the arms. Based on the assessment data, which question should the nurse ask the client?
Correct Answer: A
Rationale: Thin limbs, truncal obesity, and ecchymosis (
A) suggest corticosteroid use (e.g., prednisone) in COPD. Abuse (
B), pressure ulcers (
C), and HOB elevation (
D) are less likely.
Question 3 of 5
When the client asks the nurse why skin testing is beneficial, which explanation is best?
Correct Answer: A
Rationale: Skin testing identifies specific allergens causing symptoms, which is crucial when symptoms may be triggered by multiple substances.
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
A thoracentesis was performed on an adult client. After the procedure, the client has hemoptysis and a pulse of 80, respirations of 28, and temperature of 99°F. Which of these is of greatest concern to the nurse?
Correct Answer: A
Rationale: Hemoptysis is the only abnormal finding and indicates potential bleeding or lung injury, which is of greatest concern post-thoracentesis. The other vital signs are within normal ranges for someone who has undergone an invasive procedure.