Respiratory System NCLEX Questions

Extract:

Question 1 of 5

Which clinical manifestation indicates to the nurse the child has cystic fibrosis?

Correct Answer: B

Rationale: Excessive salty sweat (
B) is a hallmark of cystic fibrosis due to defective chloride transport, detectable via sweat chloride testing. Wheezing/cough (
A) is non-specific. Vitamin deficiencies (
C) and clubbing (
D) occur later but are not diagnostic.

Question 2 of 5

Your patient is diagnosed with a latent tuberculosis infection. Select all the correct statements that reflect this condition:

A. The patient will not need treatment unless it progresses to an active tuberculosis infection. B. The patient is not contagious and will have no signs and symptoms. C. The patient will have a positive tuberculin skin test or IGRA test. D. The patient will have an abnormal chest x-ray. E. The patient's sputum will test positive for mycobacterium tuberculosis.

Correct Answer: B,C

Rationale: Latent TB infection is characterized by no symptoms, no contagiousness , and a positive tuberculin skin test or IGRA . Treatment is often recommended to prevent progression (not
A). Chest X-rays are typically normal (not
D), and sputum tests are negative (not E).

Question 3 of 5

Which assessment finding noted by the nurse on the client's return to the room is an early indication that the client's oxygenation status is compromised?

A. The client's dressing is bloody. B. The client appears restless. C. The client's heart rate is irregular. D. The client indicates feeling cold.

Correct Answer: B

Rationale: Restlessness is an early sign of hypoxia, indicating compromised oxygenation status, which requires immediate attention.

Question 4 of 5

The client is admitted to the outpatient surgery center for a bronchoscopy to rule out cancer of the lung. Which information should the nurse teach?

A. The test will confirm the results of the MRI. B. The client can eat and drink immediately after the test. C. The HCP can do a biopsy of the tumor through the scope. D. There is no discomfort associated with this procedure.

Correct Answer: C

Rationale: Bronchoscopy allows biopsy (
C) to diagnose lung cancer. It doesn’t confirm MRI (
A), requires NPO post-procedure (
B), and causes discomfort (
D).

Question 5 of 5

Which intervention should the nurse implement for a male client who has had a left-sided chest tube for six (6) hours and who refuses to take deep breaths because of the pain?

A. Medicate the client and have the client take deep breaths. B. Encourage the client to take shallow breaths to help with the pain. C. Explain deep breaths do not have to be taken at this time. D. Tell the client if he doesn't take deep breaths, he could die.

Correct Answer: A

Rationale: Pain medication followed by deep breathing (
A) prevents atelectasis. Shallow breaths (
B), delaying (
C), and fear tactics (
D) are inappropriate.

Respiratory System NCLEX Questions | Nurselytic

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