NCLEX-PN
Respiratory System NCLEX Questions Questions
Extract:
Question 1 of 5
When the physician prescribes the first-generation antihistamine for the client's symptomatic relief, the nurse appropriately advises the client that first-generation antihistamines are associated with which side effect?
Correct Answer: C
Rationale: First-generation antihistamines cross the blood-brain barrier, often causing drowsiness as a common side effect.
Question 2 of 5
A 25 year-old female patient with pneumonia is prescribed Doxycycline. What question is important to ask the patient prior to administration of this medication?
Correct Answer: A
Rationale: Doxycycline can reduce the effectiveness of oral contraceptives, so asking about birth control use is critical. Penicillin allergy is unrelated, egg allergy is relevant for vaccines, and diabetes is not a primary concern.
Question 3 of 5
Which instruction is priority for the nurse to discuss with the client diagnosed with ARDS who is being discharged from the hospital?
Correct Answer: A
Rationale: Avoiding smoke (
A) prevents further lung damage, a priority post-ARDS. Vaccines (
B) are recommended, alcohol (
C) is not restricted, and recovery time (
D) varies.
Question 4 of 5
The nurse is assessing a patient, who has many risk factors for the development of a DVT, for signs and symptoms of a deep vein thrombosis. What signs and symptoms below would possibly indicate a deep vein thrombosis is present?
Correct Answer: C,D,E,F
Rationale: Signs and symptoms of a DVT include: redness, swelling, warm extremity, pain, positive Homan's Sign, and swelling (which can be unilateral...meaning there is more swelling in one extremity compared to the other).
Question 5 of 5
The nurse is caring for a client diagnosed with pneumonia who is having shortness of breath and difficulty breathing. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Administering oxygen (
C) is the first intervention for a pneumonia patient with shortness of breath to correct hypoxemia, per the ABCs (airway, breathing, circulation). Checking pulse oximetry (
B) assesses oxygenation but delays treatment. Vital signs (
A) and notifying the therapist (
D) are secondary to immediate oxygen delivery.