NCLEX-PN
Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
Which assessment data indicate to the nurse the client diagnosed with Legionnaires' disease is experiencing a complication?
Correct Answer: B
Rationale: Oliguria (<30 mL/hr,
B) indicates renal failure, a serious complication of Legionnaires' disease due to systemic infection or shock. Fever (
A) and elevated WBC (
D) are expected in active infection, not complications. Decreased body aches (
C) suggests improvement, not a complication.
Question 2 of 5
You are assessing your newly admitted patients who are all presenting with atypical signs and symptoms of a possible lung infection. The physician suspects tuberculosis. So, therefore, the patients are being monitored and tested for the disease. Select all the risk factors below that increases a patient's risk for developing tuberculosis:
Correct Answer: A,C,D,E,F
Rationale: Risk factors for tuberculosis include conditions or environments that weaken the immune system or increase exposure: diabetes , long-term care residency , incarceration , IV drug use , and HIV . Liver failure is not a direct risk factor, and being a U.S. resident is not specific enough.
Question 3 of 5
The health-care provider ordered STAT arterial blood gases (ABGs) for the client diagnosed with ARDS. The ABG results are pH 7.38, Pao2 92, Paco2 38, Hco3 24. Which action should the nurse implement?
Correct Answer: A
Rationale: Normal ABGs (
A) in ARDS indicate stability, requiring monitoring. Deep breathing (
B), bicarbonate (
C), and notification (
D) are unnecessary.
Question 4 of 5
A client who had a laryngectomy is nearly ready for discharge. Which instruction is most appropriate for the nurse to give?
Correct Answer: A
Rationale: A buddy is essential during swimming or boating to ensure safety, as water entering the stoma can cause aspiration.
Question 5 of 5
If the client identifies that lunches often include the following foods, which meal is the most nutritious?
Correct Answer: C
Rationale: Meatless chili with beans, corn bread, and milk provides protein, carbohydrates, and calcium, making it the most balanced and nutritious option.