NCLEX Questions Respiratory

Extract:

Question 1 of 5

Which finding best indicates that the sponge bath is having a therapeutic effect on the client?

Correct Answer: C

Rationale: A reduced temperature (101°F) directly indicates the sponge bath is effectively lowering the client's fever.

Question 2 of 5

Which client problems are appropriate for the nurse to include in the plan of care for the client diagnosed with COPD? Select all that apply.

A. Impaired gas exchange. B. Inability to tolerate temperature extremes. C. Activity intolerance. D. Inability to cope with changes in roles. E. Alteration in nutrition.

Correct Answer: A,C,D,E

Rationale: COPD causes impaired gas exchange (
A), activity intolerance (
C), role changes (
D), and nutritional issues (E) from energy demands. Temperature intolerance (
B) is not primary.

Question 3 of 5

A patient is ordered by the physician to take Pulmicort and Spiriva via inhaler. How should the patient take this medication?

A. The patient should use the medications every 2 hours for acute episodes of shortness of breath. B. The patient should use the Spiriva first and then 5 minutes later the Pulmicort. C. The patient should use the Pulmicort first and then the Spiriva 5 minutes later. D. The patient should use the medications at the same exact time, regardless of the order.

Correct Answer: B

Rationale: Spiriva (anticholinergic) should be used first to open airways, followed by Pulmicort (corticosteroid) 5 minutes later to reduce inflammation. Every 2 hours is incorrect for maintenance drugs, and order matters (C,
D).

Question 4 of 5

The nurse is caring for the client diagnosed with pneumonia. Which information should the nurse include in the teaching plan? Select all that apply.

A. Place the client on oxygen delivered by nasal cannula. B. Plan for periods of rest during activities of daily living. C. Place the client on a fluid restriction of 1,000 mL/day. D. Restrict the client's smoking to two (2) to three (3) cigarettes per day. E. Monitor the client's pulse oximetry readings every four (4) hours.

Correct Answer: B,E

Rationale: Rest periods (
B) conserve energy, and pulse oximetry (E) monitors oxygenation in pneumonia. Oxygen (
A) depends on SpO2, fluid restriction (
C) is inappropriate, and smoking (
D) must stop.

Question 5 of 5

Select all the medications used to treat pneumonia that are narrowspectrum?

A. Macrolides B. Tamiflu C. Fluroquinolones D. Penicillins

Correct Answer: A,D

Rationale: Narrow-spectrum antibiotics target specific bacteria. Macrolides and Penicillins are narrow-spectrum, effective against gram-positive bacteria common in pneumonia. Tamiflu is antiviral, and Fluoroquinolones are broad-spectrum.

NCLEX Questions Respiratory | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN