NCLEX-PN
NCLEX Respiratory Questions Questions
Extract:
Question 1 of 5
Which data are significant when assessing a client diagnosed with rule-out Legionnaires' disease?
Correct Answer: B
Rationale: Symptoms like aching muscles, high fever, malaise, and coughing (
B) are characteristic of Legionnaires' disease, a severe pneumonia. Smoking history (
A) is non-specific. Exposure to Legionella (
C) is a risk factor, not a clinical datum. Decreased lung sounds (
D) are less specific than systemic symptoms.
Question 2 of 5
Your patient's asthma is poorly controlled. The patient reports using their rescue inhaler 4 times a week. In addition, the patient's asthma is not responding to other treatments. The physician orders the patient to take a medication that works by blocking the role of the immunoglobulin IgE. This describes which medication below?
Correct Answer: B
Rationale: Omalizumab is a monoclonal antibody that binds to IgE, preventing it from triggering allergic responses in asthma.
Question 3 of 5
Until the client can be examined later that morning, which advice by the nurse would be most helpful?
Correct Answer: B
Rationale: Resting the voice reduces strain on the vocal cords, which is beneficial for laryngitis and helps prevent further irritation.
Question 4 of 5
The nurse instructs the client's spouse to empty and thoroughly clean the vaporizer after each use. Which rationale provides the basis for the nurse's instruction?
Correct Answer: B
Rationale: A cool-mist vaporizer can harbor pathogens like bacteria and mold if not cleaned properly, potentially worsening respiratory symptoms.
Question 5 of 5
An adult client is to have postural drainage four times a day. In developing the care plan, the nurse should schedule this for:
Correct Answer: A
Rationale: Postural drainage should be scheduled before or between meals and close to bedtime to avoid interference with digestion and ensure effectiveness, making 7 A.M., 11 A.M., 4 P.M., and 10 P.M. the best schedule.