NCLEX-PN
NCLEX Respiratory Questions Questions
Extract:
Question 1 of 5
Which clinical manifestation would the nurse assess in the client newly diagnosed with intrinsic lung cancer?
Correct Answer: C
Rationale: Hoarseness (
C) is a common early symptom of intrinsic lung cancer due to tumor compression of the recurrent laryngeal nerve. Dysphagia (
A) is more typical of esophageal involvement. Foul-smelling breath (
B) is non-specific. Weight loss (
D) occurs later in advanced disease.
Question 2 of 5
The nurse is planning care for a client who has COPD. Which statement is the client most likely to say about activity tolerance?
Correct Answer: A
Rationale: Morning fatigue is common in COPD due to mucus accumulation and poor sleep, affecting activity tolerance.
Question 3 of 5
The client diagnosed with a community-acquired pneumonia is being admitted to the medical unit. Which nursing intervention has the highest priority?
Correct Answer: C
Rationale: Obtaining sputum culture (
C) before antibiotics ensures accurate pathogen identification, a priority. Antibiotics (
A) follow, meals (
B) and weight (
D) are less urgent.
Question 4 of 5
The charge nurse is making rounds. Which client should the nurse assess first?
Correct Answer: C
Rationale: Blood glucose 189 mg/dL in DKA (
C) indicates potential instability, requiring immediate assessment. Rudeness (
A), edema (
B), and stable COPD (
D) are less urgent.
Question 5 of 5
The client is admitted to emergency department complaining of shortness of breath and fever. The vital signs are T 100.4°F, P 94, R 26, and BP 134/86. Which concept should the nurse identify as a concern for the client? Select all that apply.
Correct Answer: B,C
Rationale: SOB and tachypnea (
B) suggest oxygenation issues, and fever (
C) indicates infection. Clotting (
A), perfusion (
D), and coping (E) are not primary based on data.