NCLEX Questions Respiratory

Extract:

Question 1 of 5

Which datum requires immediate intervention by the nurse for the client diagnosed with asbestosis?

Correct Answer: A

Rationale: An S3 heart sound (
A) indicates heart failure, a serious complication in asbestosis due to pulmonary hypertension, requiring immediate intervention. Clubbing (
B) is a chronic finding, not acute. Fatigue (
C) is common but not urgent. Basilar crackles (
D) are expected in asbestosis and less critical than cardiac issues.

Question 2 of 5

A patient is taking Streptomycin. Which finding below requires the nurse to notify the physician?

A. Patient reports a change in vision. B. Patient reports a metallic taste in the mouth. C. The patient has ringing in their ears. D. The patient has a persistent dry cough.

Correct Answer: C

Rationale: Streptomycin can cause ototoxicity, leading to symptoms like ringing in the ears (tinnitus). This requires immediate physician notification to prevent further hearing damage.

Question 3 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:

A. Diabetes B. Liver failure C. Long-term care resident D. Inmate E. IV drug user F. HIV G. U.S. resident

Correct Answer: C,D,E,F

Rationale: Remember from our lecture we discussed the risk factors for developing TB and to remember them I said remember the mnemonic "TB Risk". It stands for tight living quarters (LTC resident, prison, homeless shelter etc.), below or at the poverty line (homeless), refugee (especially in high risk countries), immune system issue such as HIV, substance abusers (IV drugs or alcohol), Kids less than the age of 5....all these are risk factors.

Question 4 of 5

The nurse is preparing the plan of care for the client who had a pleurodesis. Which collaborative intervention should the nurse include?

A. Monitor the amount and color of drainage from the chest tube. B. Perform a complete respiratory assessment every two (2) hours. C. Administer morphine sulfate, an opioid analgesic, intravenously. D. Keep a sterile dressing and bottle of sterile normal saline at the bedside.

Correct Answer: A

Rationale: Pleurodesis involves sclerosing the pleural space to prevent fluid reaccumulation, often requiring a chest tube. Monitoring drainage amount and color (
A) is a collaborative intervention to assess procedure success and detect complications. Respiratory assessment (
B) and morphine administration (
C) are nursing or medical orders, not collaborative. Keeping sterile supplies (
D) is preparatory, not a primary intervention.

Question 5 of 5

Which of the following patients are MOST at risk for developing pneumonia? Select-all-that-apply:

A. A 53 year old female recovering from abdominal surgery. B. A 69 year old patient who recently received the pneumococcal conjugate vaccine. C. A 42 year old male with COPD and is on continuous oxygen via nasal cannula. D. A 8 month old with RSV (respiratory syncytial virus) infection.

Correct Answer: A,C,D

Rationale: Patients recovering from surgery are at risk due to immobility and impaired cough reflex, those with COPD have chronic lung disease increasing susceptibility, and infants with RSV are prone to secondary bacterial pneumonia. The vaccinated patient has reduced risk due to immunity.

NCLEX Questions Respiratory | Nurselytic

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