NCLEX-PN
NCLEX Questions Respiratory Questions
Extract:
Question 1 of 5
Which diagnostic test should the nurse anticipate the health-care provider ordering to rule out the diagnosis of asthma in clients diagnosed with chronic obstructive pulmonary disease (COPD)?
Correct Answer: D
Rationale: A bronchodilator reversibility test differentiates asthma from COPD by assessing whether airway obstruction is reversible. In asthma, lung function (e.g., FEV1) improves significantly post-bronchodilator, while COPD shows minimal improvement. Bronchoscopy (
A) is invasive and not specific for this differentiation. Immunoglobulin E (
B) is relevant for allergies, not distinguishing asthma from COPD. Arterial blood gases (
C) assess oxygenation but do not differentiate these conditions.
Question 2 of 5
Which information should the nurse teach the client diagnosed with acute sinusitis?
Correct Answer: A
Rationale: Completing antibiotics (
A) ensures treatment of bacterial sinusitis, preventing resistance. Irrigation (
B) is supportive, nose-blowing (
C) is routine, and narcotics (
D) are excessive for sinus headaches.
Question 3 of 5
Which medication below blocks the function of Leukotriene for the treatment of asthma?
Correct Answer: D
Rationale: Montelukast is a leukotriene receptor antagonist that blocks leukotrienes, reducing asthma symptoms.
Question 4 of 5
The client is diagnosed with bronchiolitis obliterans. Which data indicate the glucocorticoid therapy is effective?
Correct Answer: B
Rationale: Decreased sputum production (
B) indicates reduced airway inflammation in bronchiolitis obliterans, suggesting effective glucocorticoid therapy. Elevated glucose (
A) is a side effect, not efficacy. Increased temperature (
C) or restlessness (
D) suggests worsening or side effects, not improvement.
Question 5 of 5
A patient with asthma is receiving a nebulizer of Cromolyn. The patient reports a burning sensation in the nose along with a horrible taste in their mouth. As the nurse you will?
Correct Answer: D
Rationale: Burning sensation and bad taste are common temporary side effects of Cromolyn nebulizer treatment and do not indicate a severe reaction.